ACCESS COMMUNITY EXPERIENCE, INC. – NPI #1912353962
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

ACCESS COMMUNITY EXPERIENCE, INC. is a community based residential treatment facility located in CHICAGO, IL. NPPES has assigned the NPI number 1912353962 to ACCESS COMMUNITY EXPERIENCE, INC. on May 09, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 ACCESS COMMUNITY EXPERIENCE, INC. below.

NPI Profile for
ACCESS COMMUNITY EXPERIENCE, INC.

NPI Number
1912353962
Enumeration Date

(more than 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
ACCESS COMMUNITY EXPERIENCE, INC.
Primary location
4530 S WOODLAWN AVE UNIT 104
CHICAGO, IL 60653-4487
Phone: (708) 271-3463 Fax: (773) 966-5437
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MELAKU TADESSE
CEO
Phone: (708) 271-3463
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 201500011C

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.