MISERICORDIA HOME – NPI #1386094480
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

MISERICORDIA HOME is a community based residential treatment facility located in CHICAGO, IL. NPPES has assigned the NPI number 1386094480 to MISERICORDIA HOME on June 20, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MISERICORDIA HOME below.

NPI Profile for
MISERICORDIA HOME

NPI Number
1386094480
Enumeration Date

(about 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MISERICORDIA HOME
Primary location
6300 N RIDGE AVE
CHICAGO, IL 60660-1017
Phone: (773) 273-4191 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
STEVE SCHUETH
CONTROLLER
Phone: (773) 273-4191
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)		 IL 2000644
251C00000X
- Day Training, Developmentally Disabled Services		 IL

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.