Organization Active NPI

Divine Touch Cila Homes Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Homewood, IL
National Provider Identifier
1326541970
Registry record updated Mar 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
DIVINE TOUCH CILA HOMES INC.
Practice address
18350 Kedzie Ave Ste 204
Homewood, IL 60430-2759
Phone
(773) 430-8668
NPI assigned
Mar 9, 2018
Last updated
Mar 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2018

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

Authorized official

Name
Maryann EbomNPI 1922601889
Title
Ceo
Phone
(773) 430-8668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

18350 Kedzie Ave Ste 204
Homewood, IL 60430-2759

Mailing address

18350 Kedzie Ave Ste 204
Homewood, IL 60430-2759

National Provider Directory

National Provider Directory

Locations

18350 Kedzie Ave
Ste 204
Homewood, IL 60430
Phone (773) 430-8668

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520553600000",
    "number": "1326541970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18350 KEDZIE AVE STE 204",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18350 KEDZIE AVE STE 204",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302759",
            "telephone_number": "773-430-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE TOUCH CILA HOMES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-09",
        "last_updated": "2018-03-09",
        "status": "A",
        "authorized_official_last_name": "EBOM",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-430-8668"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; 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.