Harmony House Cila

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

201700003C Issued in IL

Legal business name

HARMONY HOUSE CILA

Practice address

16708 Kimbark Ave
South Holland, IL 60473-3231

Phone

(312) 656-7378

NPI assigned

Apr 25, 2017

Organization subpart

No

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

Authorized official

Name

Gisela Thurmon

Title

Ceo

Phone

(312) 656-7378

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1720513922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16708 KIMBARK AVE",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604733231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16708 KIMBARK AVE",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604733231",
            "telephone_number": "312-656-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMONY HOUSE CILA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "THURMON",
        "authorized_official_first_name": "GISELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-656-7378"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IL",
            "license": "201700003C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in South Holland, IL
• Providers in South Holland, IL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.