Honeysuckle Home Inc

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

Legal business name

HONEYSUCKLE HOME INC

Practice address

4017 W Ogden Ave
Chicago, IL 60623-2820

Phone

(773) 512-6193

NPI assigned

Jun 4, 2025

Organization subpart

No

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

Authorized official

Name

Crystal Trinidad, NP

Title

Don/ Program Administrator/ Owner

Phone

(773) 512-6193

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1831083997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4017 W OGDEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606232820",
            "telephone_number": "773-512-6193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4017 W OGDEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606232820",
            "telephone_number": "773-512-6193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4017 W Ogden Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606232820",
            "country_code": "US",
            "telephone_number": "773-512-6193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HONEYSUCKLE HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "TRINIDAD",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "DON/ PROGRAM ADMINISTRATOR/ OWNER",
        "authorized_official_telephone_number": "773-512-6193",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Disabilities Residential Treatment Facility in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Disabilities Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.