Halsted Shelter Care

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

0049080 Issued in IL

Legal business name

HALSTED SHELTER CARE

Practice address

16044 Halsted St
Harvey, IL 60426-5201

Phone

(708) 339-5311

Fax

(708) 339-5315

NPI assigned

Feb 14, 2008

Last updated

Feb 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Elisha Atkin

Title

Administrator

Phone

(708) 339-5311

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1568630390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16044 HALSTED ST",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604265201",
            "telephone_number": "708-339-5311",
            "fax_number": "708-339-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16044 HALSTED ST",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604265201",
            "telephone_number": "708-339-5311",
            "fax_number": "708-339-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALSTED SHELTER CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "ATKIN",
        "authorized_official_first_name": "ELISHA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "708-339-5311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "IL",
            "license": "0049080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Greenlee
• Allison A. Griffiths, M.D.
• Justin Allan Gross, MD
• Halfway House Committee, Inc. (Sadie Waterford Assessment & Therapy Center)
• Lakesha D Hall, DEVELOPMENTAL THERAP
• Ebony S Hardison, COTA/L
• Willie C Harmon Sr., LCPC, DOCTORATE
• Kisha Hart-McCaskill
• Harvey Anesthesiologists SC
• Muhammad H Hasan, MD

• Adult Care Home Facility in Harvey, IL
• Providers in Harvey, IL by specialty
• Adult Care Home Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.