Organization Active NPI

Ada S. McKinley Community Services, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Chicago, IL
National Provider Identifier
1942553490
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
ADA S. MCKINLEY COMMUNITY SERVICES, INC.
Doing business as
HAMMOND HOUSE
Practice address
6701 S Morgan St
Chicago, IL 60621-1201
Phone
(773) 994-0833
Fax
(773) 994-8716
NPI assigned
Oct 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Authorized official

Name
Ken Fries
Title
Dir Qa&C
Phone
(312) 385-2022

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X

Addresses

Primary practice location

6701 S Morgan St
Chicago, IL 60621-1201

Mailing address

1359 W Washington Blvd
Chicago, IL 60607-1905
Phone (312) 385-2000

Other identifiers 1

IdentifierTypeStateIssuer
0030619OtherILIDPH LICENSE

Other names 1

  • HAMMOND HOUSE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 14G116

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
HAMMOND HOUSE
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Sep 19, 1986
Last certification
Apr 27, 2023
Beds
15
Ownership / control type
Private (non-profit)
Facility address
6701 South Morgan
Chicago, IL 60621

National Provider Directory

National Provider Directory
Tax ID family
Ada S McKinley Community Services Inc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

6701 S Morgan St
Chicago, IL 60621
Phone (773) 994-0833

NPI Registry JSON

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1942553490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1359 W WASHINGTON BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071905",
            "telephone_number": "312-385-2000",
            "fax_number": "312-554-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 S MORGAN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606211201",
            "telephone_number": "773-994-0833",
            "fax_number": "773-994-8716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADA S. MCKINLEY COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "FRIES",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "DIR QA&C",
        "authorized_official_telephone_number": "312-385-2022"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDPH LICENSE",
            "identifier": "0030619",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HAMMOND HOUSE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.