Organization · Type 2 NPI

The Good Samaritan House

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Chicago, IL

NPI number 1508709148 Active

Practice location

29 W 124th St Fl 2
Chicago, IL 60628-7301

Call (773) 458-8539 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1508709148

The Good Samaritan House's National Provider Identifier is 1508709148, issued on Apr 9, 2026. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Chicago, IL. The record was last updated on Apr 9, 2026.