Ysl Care, Inc

Primary specialty

Mental Illness Intermediate Care FacilityTaxonomy code 310500000X

Legal business name

YSL CARE, INC

Doing business as

Columbus Manor Residential Care Home

Practice address

5107-21 West Jackson Blvd
Chicago, IL 60644

Phone

(773) 378-5490

Fax

(773) 378-7860

NPI assigned

Feb 25, 2008

Last updated

Oct 6, 2016By 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. Afzal LokhandwalaNPI 1437805421

Title

President

Phone

(630) 664-6048

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Columbus Manor Residential Care Home Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Afzal Lokhandwala, DO

  • Driver
  • Chicago, IL
  • NPI 1437805421
  Authorized official Same address or phone

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1639348691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5107-21 WEST JACKSON BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60644",
            "telephone_number": "773-378-5490",
            "fax_number": "773-378-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5107-21 WEST JACKSON BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60644",
            "telephone_number": "773-378-5490",
            "fax_number": "773-378-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YSL CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "LOKHANDWALA",
        "authorized_official_first_name": "AFZAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-664-6048",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "IL",
            "license": "0007781",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362673116001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbus Manor Residential Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Youth Outreach Services
• Youth Service Bureau (LPC)
• Youth Service Project
• Amber Yow, PA-C
• Adeluisa Yranela
• Ysm Medical Group Center
• Ronald J Ytem, BCBA
• Alice Yunzi Ling Yu, MD
• Alvin Yiu Chun Yu, M.D.
• Brian PO Han Yu, MD

• 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 Oct 6, 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.