Organization · Type 2 NPI
State of Illinois Department of Human Services
Adult Care Home Facility · Chicago, IL
NPI number
1962954099
Active
Practice location
10724 S Indiana Ave
Chicago, IL 60628-3615
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 0971 (IL) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Other adult care home facility providers in Chicago
About NPI 1962954099
State of Illinois Department of Human Services's National Provider Identifier is 1962954099, issued on Oct 24, 2016. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Chicago, IL. The record was last updated on Oct 24, 2016.