Active NPI
Jasmine Healthcare Management LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Chicago, IL
National Provider Identifier
1972140960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- JASMINE HEALTHCARE MANAGEMENT LLC
- Practice address
- 1507 E 53Rd St Unit 247
Chicago, IL 60615-4573 - Phone
- (312) 620-2410
- NPI assigned
- Dec 9, 2019
- 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
- Rosalyn Young, MS CADC MAC
- Title
- Ceo/Founder
- Phone
- (312) 617-7857
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Assisted Living Facility (Mental Illness) | 3104A0625X | |||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary | ||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
1507 E 53Rd St Unit 247
Chicago, IL 60615-4573
Mailing address
1507 E 53Rd St Unit 247
Chicago, IL 60615-4573
Phone (312) 617-7857
Other practice location 1
3039 W Peoria Ave Unit 104
Phoenix, AZ 85029-5212
Phone (602) 888-6779
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | jasminehealthcaremanagement@gmail.com | ||
| CONNECT URL | jasminehealthcaremanagement@gmail.com |
National Provider Directory
National Provider DirectoryLocations
3039 W Peoria Ave
Unit 104
Phoenix, AZ 85029
Phone (602) 888-6779
1507 E 53rd St
Unit 247
Chicago, IL 60615
Phone (312) 617-7857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1575849600000",
"number": "1972140960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 E 53RD ST UNIT 247",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606154573",
"telephone_number": "312-617-7857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1507 E 53RD ST UNIT 247",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606154573",
"telephone_number": "312-620-2410"
}
],
"practiceLocations": [
{
"address_1": "3039 W Peoria Ave Unit 104",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850295212",
"country_code": "US",
"telephone_number": "602-888-6779",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "JASMINE HEALTHCARE MANAGEMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-09",
"last_updated": "2019-12-09",
"certification_date": "2019-12-09",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "ROSALYN",
"authorized_official_title_or_position": "CEO/FOUNDER",
"authorized_official_telephone_number": "312-617-7857",
"authorized_official_credential": "MS CADC MAC"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
},
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "jasminehealthcaremanagement@gmail.com",
"affiliation": "N",
"address_1": "3039 W Peoria Ave Unit 104",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850295212",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "jasminehealthcaremanagement@gmail.com",
"affiliation": "N",
"address_1": "1507 E 53rd St Unit 247",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606154573",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 9, 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.