Jamal Place, Inc. in Chicago - Residential Treatment Facility, Emotionally Disturbed Children
Jamal Place, Inc. - NPI 1174574016
Jamal Place, Inc. is a Residential Treatment Facility, Emotionally Disturbed Children in Chicago, Illinois. Jamal Place, Inc. practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Jamal Place, Inc. is 1174574016. The last update date is 2020-08-22.
Jamal Place, Inc.'s current location address is 1335 S. California Ave, Chicago, Illinois. You can contact this provider via phone number 7732776631 and fax number 7732777049. The mailing address for Jamal Place, Inc. is 1335 S. California Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jamal Place, Inc. |
|---|---|
| Address | 1335 S. California Ave, Chicago, Illinois |
| Phone Number | 7732776631 |
| Fax Number | 7732777049 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | TLP DIRECT |
|---|---|
| Authorized Official Name | Barclay Brian |
| Credentials | MSW |
| Telephone Number | 7737225270 |
NPI Number Detail
| NPI Number | 1174574016 |
|---|---|
| Provider Enumeration Date | 2006-05-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1335 S. California Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606081611 |
| Phone Number | 7732776631 |
| Fax Number | 7732777049 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | 246705-05 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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Post Comment/ Review Below
What is the Jamal Place, Inc.'s 1174574016?
The Jamal Place, Inc.'s NPI (National Provider Identifier) Number is 1174574016. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jamal Place, Inc.'s physical address?
The Jamal Place, Inc. is physically located at 1335 S. California Ave, in the city of Chicago, IL, with the postal code 606081611.
What is Jamal Place, Inc.'s area of expertise and its corresponding taxonomy classification?
The Jamal Place, Inc.'s field of specialization is Residential Treatment Facility, Emotionally Disturbed Children, and it falls under the taxonomy code 322D00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1174574016 to Jamal Place, Inc.?
The Jamal Place, Inc. received its 1174574016 assignment from the Centers for Medicare & Medicaid Services on 2006-05-15.
As of what date were the details pertaining to Jamal Place, Inc. last refreshed?
The information related to the Jamal Place, Inc., including its address, specialty, and other relevant details, was last updated on 2020-08-22.