Active NPI
Honeysuckle Home Inc
- Physical Disabilities Residential Treatment Facility
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Disabilities Residential Treatment Facility
- 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
- Last updated
- Jun 4, 2025
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | Primary |
Addresses
Primary practice location
4017 W Ogden Ave
Chicago, IL 60623-2820
Mailing address
4017 W Ogden Ave
Chicago, IL 60623-2820
Phone (773) 512-6193
Other practice location 1
4017 W Ogden Ave
Chicago, IL 60623-2820
Phone (773) 512-6193
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Hillside, IL
- NPI 1699588442
NPI Registry JSON
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": []
}
Other providers in Chicago, IL
Sources for this page
- 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.