Active NPI
The Good Samaritan House
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Chicago, IL
National Provider Identifier
1508709148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- THE GOOD SAMARITAN HOUSE
- Practice address
- 29 W 124TH St FL 2
Chicago, IL 60628-7301 - Phone
- (773) 458-8539
- NPI assigned
- Apr 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sherrice Hoffman
- Title
- Ceo
- Phone
- (773) 458-8539
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
29 W 124TH St FL 2
Chicago, IL 60628-7301
Mailing address
29 W 124TH St FL 2
Chicago, IL 60628-7301
Phone (773) 458-8539
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- South Holland, IL
- NPI 1063904597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775692800000",
"number": "1508709148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 W 124TH ST FL 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606287301",
"telephone_number": "773-458-8539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 W 124TH ST FL 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606287301",
"telephone_number": "773-458-8539"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE GOOD SAMARITAN HOUSE",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-09",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A",
"authorized_official_last_name": "HOFFMAN",
"authorized_official_first_name": "SHERRICE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "773-458-8539",
"authorized_official_name_prefix": "Ms."
},
"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": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.