Marthas House

Primary specialty

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

Legal business name

MARTHAS HOUSE

Practice address

5621 W Von Ave Unit a
Monee, IL 60449-7921

Phone

(708) 906-6789

Fax

(708) 906-6789

NPI assigned

Aug 18, 2025

Last updated

Aug 18, 2025By 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

Pam West

Title

Board President

Phone

(708) 906-6789

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1780561407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5621 W VON AVE UNIT A",
            "city": "MONEE",
            "state": "IL",
            "postal_code": "604497921",
            "telephone_number": "708-906-6789",
            "fax_number": "708-906-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5621 W VON AVE UNIT A",
            "city": "MONEE",
            "state": "IL",
            "postal_code": "604497921",
            "telephone_number": "708-906-6789",
            "fax_number": "708-906-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHAS HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-17",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "708-906-6789"
    },
    "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": []
}

• Danielle Kowach, LCSW
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• Patricia C May, FNP-BC
• Lindsay Rice Michalewicz, MA BCBA
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• Adam W Milik, MD
• Monee Fire Protection District

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Monee, IL
• Providers in Monee, 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 Aug 18, 2025; 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.