Active NPI
Misericordia Home
- Pediatric Skilled Nursing Facility
- Chicago, IL
National Provider Identifier
1891723250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Skilled Nursing Facility
- License
- 0045906
- Legal business name
- MISERICORDIA HOME
- Practice address
- 6300 N Ridge Ave
Chicago, IL 60660-1017 - Phone
- (773) 973-6300
- NPI assigned
- Jun 28, 2006
- 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
- Ms. Denise Tigges
- Title
- Administrator
- Phone
- (773) 273-3544
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Skilled Nursing Facility | 3140N1450X | 0045906 | IL | Primary |
Addresses
Primary practice location
6300 N Ridge Ave
Chicago, IL 60660-1017
Mailing address
6300 N Ridge Ave
Chicago, IL 60660-1017
Phone (773) 973-6300
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458691200000",
"number": "1891723250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 N RIDGE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606601017",
"telephone_number": "773-973-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 N RIDGE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606601017",
"telephone_number": "773-973-6300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISERICORDIA HOME",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-28",
"last_updated": "2016-03-23",
"status": "A",
"authorized_official_last_name": "TIGGES",
"authorized_official_first_name": "DENISE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "773-273-3544",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "3140N1450X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
"state": "IL",
"license": "0045906",
"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 Mar 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.