Compassion Cila Homes Inc,

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

201500006C Issued in IL

Legal business name

COMPASSION CILA HOMES INC,

Practice address

304 Springfield St
Park Forest, IL 60466-1145

Phone

(773) 419-2211

NPI assigned

Sep 18, 2015

Last updated

Oct 21, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Freda Benjamin Bassey

Title

Ceo

Phone

(773) 419-2211

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1194194175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 SPRINGFIELD ST",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604661145",
            "telephone_number": "773-419-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 SPRINGFIELD ST",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604661145",
            "telephone_number": "773-419-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSION CILA HOMES INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "BASSEY",
        "authorized_official_first_name": "FREDA",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-419-2211"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "IL",
            "license": "201500006C",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IL",
            "license": "201500006C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Park Forest, IL
• Providers in Park Forest, IL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; 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.