Organization Active NPI

HWC Residential Housing LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Chicago, IL
National Provider Identifier
1659000511
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
HWC RESIDENTIAL HOUSING LLC
Practice address
2454 W Peterson Ave
Chicago, IL 60659-4113
Phone
(952) 393-2120
NPI assigned
Jun 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Authorized official

Name
Abdulahi Hassan Mohamed
Title
Director
Phone
(952) 393-2120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

2454 W Peterson Ave
Chicago, IL 60659-4113

Mailing address

2454 W Peterson Ave
Chicago, IL 60659-4113
Phone (952) 393-2120

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL hwcresidentialhousing@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

2454 W Peterson Ave
Chicago, IL 60659
Phone (773) 297-8000

NPI Registry JSON

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1659000511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2454 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594113",
            "telephone_number": "952-393-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2454 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594113",
            "telephone_number": "952-393-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HWC RESIDENTIAL HOUSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "ABDULAHI",
        "authorized_official_middle_name": "HASSAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "952-393-2120"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hwcresidentialhousing@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2454 W Peterson Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606594113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 7, 2022; 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.