Active NPI
HWC Residential Housing LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Chicago, IL
National Provider Identifier
1659000511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | hwcresidentialhousing@gmail.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
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.