Misericordia Home in Chicago - Intermediate Care Facility, Intellectual Disabilities
Misericordia Home - NPI 1366479768
Misericordia Home is a Intermediate Care Facility, Intellectual Disabilities in Chicago, Illinois. Misericordia Home practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Misericordia Home is 1366479768. The last update date is 2020-08-22.
Misericordia Home's current location address is 6300 N Ridge Ave, Chicago, Illinois. You can contact this provider via phone number 7739736300. The mailing address for Misericordia Home is 6300 N Ridge Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Misericordia Home |
|---|---|
| Address | 6300 N Ridge Ave, Chicago, Illinois |
| Phone Number | 7739736300 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | O'Brien Mary Pat |
| Telephone Number | 7732734169 |
NPI Number Detail
| NPI Number | 1366479768 |
|---|---|
| Provider Enumeration Date | 2006-06-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 6300 N Ridge Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606601017 |
| Phone Number | 7739736300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 32599 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
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Post Comment/ Review Below
What is the unique identifier code issued to Misericordia Home by the Centers for Medicare & Medicaid Services (CMS)?
The Misericordia Home has been assigned the NPI (National Provider Identifier) 1366479768. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Misericordia Home?
The Misericordia Home is situated at 6300 N Ridge Ave, in the city of Chicago, state of IL, with the zip code 606601017.
What is Misericordia Home's specialized field of practice, and what is the corresponding taxonomy classification code?
The Misericordia Home's area of specialization is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1366479768 to Misericordia Home?
The Centers for Medicare & Medicaid Services originally issued the 1366479768 to Misericordia Home on 2006-06-28.
When was the information regarding Misericordia Home, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Misericordia Home, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.