Organization Active NPI

Human Resources Development Institute, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1093984460
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HUMAN RESOURCES DEVELOPMENT INSTITUTE, INC
Doing business as
HRDI COMMUNITY SUPPORT RESIDENTIAL
Practice address
11335 S State St
Chicago, IL 60628-4835
Phone
(773) 291-2651
Fax
(773) 660-9118
NPI assigned
Feb 29, 2008
Organization subpart
Yes
Parent organization
HUMAN RESOURCES DEVELOPMENT INSTITUTE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Authorized official

Name
Ms. Renzy Richardson
Title
Director of Contract Administration
Phone
(312) 441-9009

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Mental Illness Community Based Residential Treatment Facility 320800000X 04073 IL

Addresses

Primary practice location

11335 S State St
Chicago, IL 60628-4835

Mailing address

222 S Jefferson St
200
Chicago, IL 60661-5603
Phone (312) 441-9009

Other names 1

  • HRDI COMMUNITY SUPPORT RESIDENTIAL Doing business as

National Provider Directory

National Provider Directory
Part of
Human Resources Development Institue Inc

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1093984460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S JEFFERSON ST",
            "address_2": "200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606615603",
            "telephone_number": "312-441-9009",
            "fax_number": "312-441-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11335 S STATE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606284835",
            "telephone_number": "773-291-2651",
            "fax_number": "773-660-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMAN RESOURCES DEVELOPMENT INSTITUTE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HUMAN RESOURCES DEVELOPMENT INSTITUTE, INC.",
        "enumeration_date": "2008-02-29",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "RENZY",
        "authorized_official_title_or_position": "DIRECTOR OF CONTRACT ADMINISTRATION",
        "authorized_official_telephone_number": "312-441-9009",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "IL",
            "license": "04073",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HRDI COMMUNITY SUPPORT RESIDENTIAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HRDI COMMUNITY SUPPORT RESIDENTIAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.