Sacred Heart Home

Primary specialty

Mental Illness Intermediate Care FacilityTaxonomy code 310500000X

License

0013334 Issued in IL

Legal business name

SACRED HEART HOME

Doing business as

MADO HEALTHCARE - DOUGLAS PARK

Practice address

1550 S Albany Ave
Chicago, IL 60623-2212

Phone

(773) 277-6868

Fax

(773) 277-5014

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Peter J O'Brien

Title

President

Phone

(312) 787-9400

Specialties & licenses 1

Addresses

Other names 1

• MADO HEALTHCARE - DOUGLAS PARK Doing business as

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555286400000",
    "number": "1902994650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N WABASH AVE STE P2W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113541",
            "telephone_number": "312-787-9400",
            "fax_number": "312-787-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 S ALBANY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606232212",
            "telephone_number": "773-277-6868",
            "fax_number": "773-277-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2019-04-15",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-787-9400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "IL",
            "license": "0013334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MADO HEALTHCARE - DOUGLAS PARK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Sackett, LPC
• Emmanuel Nii Saki Sackey, MB CHB
• William Sackley
• Theodore J Saclarides, M.D.
• Sacred Circles Health Initiative
• Sacred Heart Hospital
• Sacred Heart Hospital
• Sacred Heart Phlebotomy LLC
• Sacred Minds PLLC
• Sacred Space in Home Health Care LLC

• Mental Illness Intermediate Care Facility in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Illness Intermediate Care Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.