Children'S Habilitation Center

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

CHILDREN'S HABILITATION CENTER

Practice address

121 W 154TH St
Harvey, IL 60426-3552

Phone

(708) 596-2220

Fax

(708) 596-2258

NPI assigned

Aug 25, 2020

Organization subpart

No

Name

Jennie Shanmartin

Title

Controller

Phone

(708) 722-2946

Tax ID family

Children'S Habilitation Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Children'S Habilitation Center

  • Pediatric Skilled Nursing Facility
  • Harvey, IL
  • NPI 1972531341
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 25, 2020.

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1366055899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W 154TH ST",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604263552",
            "telephone_number": "708-596-2220",
            "fax_number": "708-596-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W 154TH ST",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604263552",
            "telephone_number": "708-596-2220",
            "fax_number": "708-596-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "SHANMARTIN",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "708-722-2946"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chhadwa Inc
• Shantilal T Chhadwa
• Chicago Metropolitan Obstetricians & Gynecologists, LTD
• Chicago Metropolitan Obstetricians Gynecologists and Pediatricians
• Children and Parents Excelling
• Children'S Habilitation Center
• Raj Chinnappan
• David R Chow, MD
• Joseph M Civantos, MD
• Clarence Johnson Transportation Inc

• All providers in Harvey, IL
• Nursing Facility/Intermediate Care Facility in Illinois

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