New Direction Outreach in Chicago - Community Based Residential Treatment Facility, Mental Illness
New Direction Outreach - NPI 1477508265
New Direction Outreach is a Community Based Residential Treatment Facility, Mental Illness in Chicago, Illinois. New Direction Outreach practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for New Direction Outreach is 1477508265. The last update date is 2020-08-22.
New Direction Outreach's current location address is 6857 S State St, Chicago, Illinois. You can contact this provider via phone number 7734832226 and fax number 7732248201. The mailing address for New Direction Outreach is 6857 S State St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | New Direction Outreach |
|---|---|
| Address | 6857 S State St, Chicago, Illinois |
| Phone Number | 7734832226 |
| Fax Number | 7732248201 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Laflora Jerome Stephen |
| Credentials | M.S. |
| Telephone Number | 7734832226 |
NPI Number Detail
| NPI Number | 1477508265 |
|---|---|
| Provider Enumeration Date | 2006-05-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 6857 S State St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606373910 |
| Phone Number | 7734832226 |
| Fax Number | 7732248201 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2B05-CHR-096 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to New Direction Outreach by the Centers for Medicare & Medicaid Services?
The New Direction Outreach has been assigned the NPI (National Provider Identifier) 1477508265. 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 New Direction Outreach's facilities are situated?
The facilities of New Direction Outreach are physically located at the following address: 6857 S State St, Chicago, IL, 606373910.
What is New Direction Outreach's area of expertise and its corresponding taxonomy classification?
The New Direction Outreach's field of specialization is Community Based Residential Treatment Facility, Mental Illness, and it falls under the taxonomy code 320800000X, which categorizes healthcare providers based on their areas of practice.
On what date did the New Direction Outreach receive the assignment of its 1477508265 from the Centers for Medicare & Medicaid Services?
The New Direction Outreach was issued its 1477508265 by the Centers for Medicare & Medicaid Services on 2006-05-23.
As of what date was the information regarding New Direction Outreach, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to New Direction Outreach, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.