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Organization Active NPI

Misericordia Home

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Chicago, IL
National Provider Identifier
1386094480
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
2000602 Issued in IL
Legal business name
MISERICORDIA HOME
Practice address
6300 N Ridge Ave
Chicago, IL 60660-1017
Phone
(773) 273-4191
NPI assigned
Jun 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Authorized official

Name
Steve Schueth
Title
Controller
Phone
(773) 273-4191

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X IL
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 2000602 IL Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 2000594 IL
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 2000644 IL
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 199600013C IL

Addresses

Primary practice location

6300 N Ridge Ave
Chicago, IL 60660-1017

Mailing address

6300 N Ridge Ave
Chicago, IL 60660-1017

National Provider Directory

National Provider Directory
Tax ID family
Misericordia Home31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1386094480",
    "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"
        },
        {
            "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": "773-273-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISERICORDIA HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "SCHUETH",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "773-273-4191"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IL",
            "license": "2000602",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IL",
            "license": "2000594",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IL",
            "license": "2000644",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IL",
            "license": "199600013C",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 20, 2016; 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.