Churchview Supportive Living Community

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

0001 Issued in IL

Legal business name

CHURCHVIEW SUPPORTIVE LIVING COMMUNITY

Practice address

2626 W 63Rd St
Chicago, IL 60629-1655

Phone

(773) 471-4444

Fax

(773) 471-3935

NPI assigned

Sep 18, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Laura Kelly

Title

Administrator

Phone

(773) 471-4444

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003002650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606291655",
            "telephone_number": "773-471-4444",
            "fax_number": "773-471-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606291655",
            "telephone_number": "773-471-4444",
            "fax_number": "773-471-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHURCHVIEW SUPPORTIVE LIVING COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-471-4444",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": "0001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Chupron
• Annie Church, LSCW
• Ashley Church
• Emily Sierra Church
• Elizabeth Churchill, LSW
• Churchview Supportive Living Preservation LP
• Travis Churilla, MD
• Jane Ellen Churpek, M.D.
• Alesia Churyla, MD
• Laurieann Chutis, LCSW

• Assisted Living Facility in Chicago, IL
• Providers in Chicago, IL by specialty
• Assisted Living Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.