Organization Active NPI

St Nicholas Cila Homes Corporation

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Matteson, IL
National Provider Identifier
1750219416
Registry record updated May 12, 2026
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
ST NICHOLAS CILA HOMES CORPORATION
Practice address
6204 Old Plank Blvd
Matteson, IL 60443-1453
Phone
(773) 240-9225
Fax
(773) 240-9225
NPI assigned
May 12, 2026
Last updated
May 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Authorized official

Name
Nicholas Efosa Agbonifo
Title
President
Phone
(773) 240-9225

Specialties & licenses 1

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

Addresses

Primary practice location

6204 Old Plank Blvd
Matteson, IL 60443-1453

Mailing address

8734 Carlisle CT
Darien, IL 60561-5372
Phone (773) 240-9225

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1778544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1750219416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8734 CARLISLE CT",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605615372",
            "telephone_number": "773-240-9225",
            "fax_number": "773-240-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6204 OLD PLANK BLVD",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604431453",
            "telephone_number": "773-240-9225",
            "fax_number": "773-240-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST NICHOLAS CILA HOMES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-12",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "AGBONIFO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "EFOSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-240-9225"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matteson, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.