NPIMap

Organization Active NPI

John J. Madden MHC Pav-2, Unit 4470

  • Psychiatric Hospital Unit
  • Hines, IL
National Provider Identifier
1790829612
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
JOHN J. MADDEN MHC PAV-2, UNIT 4470
Practice address
1200 South First Ave
Hines, IL 60141-7000
Phone
(708) 338-7048
Fax
(708) 338-7233
NPI assigned
Feb 16, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Fred Nirde
Title
Hospital Administrator
Phone
(708) 338-7048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X IL Primary

Addresses

Primary practice location

1200 South First Ave
Hines, IL 60141-7000

Mailing address

1200 South First Ave
Hines, IL 60141-7000
Phone (708) 338-7048

National Provider Directory

National Provider Directory
Tax ID family
Elisabeth Ludeman Center292 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790829612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SOUTH FIRST AVE",
            "city": "HINES",
            "state": "IL",
            "postal_code": "601417000",
            "telephone_number": "708-338-7048",
            "fax_number": "708-338-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SOUTH FIRST AVE",
            "city": "HINES",
            "state": "IL",
            "postal_code": "601417000",
            "telephone_number": "708-338-7048",
            "fax_number": "708-338-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J. MADDEN MHC PAV-2, UNIT 4470",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NIRDE",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "HOSPITAL ADMINISTRATOR",
        "authorized_official_telephone_number": "708-338-7048"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.