Clayton Residential Homes Inc

Primary specialty

Mental Illness Intermediate Care FacilityTaxonomy code 310500000X

License

0016634 Issued in IL

Legal business name

CLAYTON RESIDENTIAL HOMES INC

Practice address

2026 N Clark St
Chicago, IL 60614-4764

Phone

(773) 549-1840

Fax

(773) 549-2036

NPI assigned

Jun 28, 2006

Organization subpart

No

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

Authorized official

Name

Richard Dean Duros

Title

Cfo Coo

Phone

(847) 441-8200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1497783872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 CENTRAL AVE",
            "address_2": "SUITE 100",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933045",
            "telephone_number": "847-441-8200",
            "fax_number": "847-441-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2026 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144764",
            "telephone_number": "773-549-1840",
            "fax_number": "773-549-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTON RESIDENTIAL HOMES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "DUROS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "CFO COO",
        "authorized_official_telephone_number": "847-441-8200"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "IL",
            "license": "0016634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Renee Clayborn, RPH, D.N.
• Kiesha Claybron, LPN
• Sara F Claycomb, AU.D.
• Catherine Joanne Claysen, M.S.R.D.L.D.
• Ariana Clayter
• Clayton Wilson PLLC
• Darryl Lamont Clayton, MSW
• Deashlon Clayton
• Galeta Carolyn Clayton, M.D.
• Mark Clayton II

• Mental Illness Intermediate Care Facility in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Illness Intermediate Care Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.