Misericordia Home

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

0029876 Issued in IL

Legal business name

MISERICORDIA HOME

Practice address

6300 N Ridge Ave
Chicago, IL 60660-1017

Phone

(773) 973-6300

Fax

(773) 743-5439

NPI assigned

May 4, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Denise Tigges

Title

Administrator

Phone

(773) 273-3544

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003864844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 N RIDGE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601017",
            "telephone_number": "773-973-6300",
            "fax_number": "773-743-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 N RIDGE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601017",
            "telephone_number": "773-973-6300",
            "fax_number": "773-743-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISERICORDIA HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TIGGES",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-273-3544",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "IL",
            "license": "0029876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Misch, N.P.
• Rebecca L. Mischak
• Tess Allan Mischler
• Kathleen E Misek, P.A.
• Abigail A Misenheimer, DPT
• Misericordia Home
• Misericordia Home
• Misericordia Home
• Misericordia Home
• Misericordia Home

• Intellectual Disabilities Intermediate Care Facility in Chicago, IL
• Providers in Chicago, IL by specialty
• Intellectual Disabilities Intermediate Care Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.