Children's Habilitation Center

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

Legal business name

CHILDREN'S HABILITATION CENTER

Practice address

121 W 154TH Street
Harvey, IL 60426

Phone

(708) 596-2220

Fax

(708) 596-2258

NPI assigned

Jun 28, 2006

Last updated

Sep 6, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Pamela Markle

Title

Ceo

Phone

(708) 596-2220

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Children's Habilitation Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Children's Habilitation Center

  • Nursing Facility/Intermediate Care Facility
  • Harvey, IL
  • NPI 1366055899
  NPD tax ID

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1972531341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W 154TH STREET",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "60426",
            "telephone_number": "708-596-2220",
            "fax_number": "708-596-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W 154TH STREET",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "60426",
            "telephone_number": "708-596-2220",
            "fax_number": "708-596-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "MARKLE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-596-2220",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14G248",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shantilal T Chhadwa
• Chicago Metropolitan Obstetricians & Gynecologists, LTD
• Chicago Metropolitan Obstetricians Gynecologists and Pediatricians
• Children and Parents Excelling
• Children's Habilitation Center
• Raj Chinnappan
• David R Chow, MD
• Joseph M Civantos, MD
• Clarence Johnson Transportation Inc
• Ralph Clark

• Pediatric Skilled Nursing Facility in Harvey, IL
• Providers in Harvey, IL by specialty
• Pediatric Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.

Verify at the official NPI Registry.