Misericordia Home in Chicago - Intermediate Care Facility, Intellectual Disabilities

Misericordia Home - NPI 1972543551

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 1972543551. The last update date is 2010-12-10.

Misericordia Home's current location address is 6300 N Ridge Ave, Chicago, Illinois. You can contact this provider via phone number 7739736300 and fax number 7737435439. 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 7737435439
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name O'Brien Mary Pat
Telephone Number 7732734169

NPI Number Detail

NPI Number 1972543551
Provider Enumeration Date 2006-06-08
Last Updated Date 2010-12-10

Provider Mailing Address Detail

Address 6300 N Ridge Ave
City Chicago
State Illinois (IL)
Post Code 606601017
Phone Number 7739736300
Fax Number 7737435439

Provider's Primary Taxonomy Detail

Speciality Intermediate Care Facility, Intellectual Disabilities
Taxonomy 315P00000X
Licence No 28498
Definition:
An intermediate care facility providing services for individuals with intellectual disabilities.

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FAQs about Misericordia Home

What is the unique identifier code issued to Misericordia Home by the Centers for Medicare & Medicaid Services?

The Misericordia Home has been assigned the NPI (National Provider Identifier) 1972543551. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Misericordia Home's facilities are situated?

The facilities of Misericordia Home are physically located at the following address: 6300 N Ridge Ave, Chicago, IL, 606601017.

What is Misericordia Home's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Misericordia Home is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy classification code that categorizes this area of expertise is 315P00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1972543551 to Misericordia Home?

The Misericordia Home received its 1972543551 assignment from the Centers for Medicare & Medicaid Services on 2006-06-08.

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 2010-12-10.

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