UCAN (NPI# 1124476726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124476726 |
| Entity Type | Organization |
| Organization Name | UCAN |
| Other Organization Name | UHLICH CHILDRENS ADVANTAGE NETWORK |
| Practice Address |
3640 W Fillmore St Chicago IL 60624-4309 |
| Mailing Address |
3605 W Fillmore St Chicago IL 60624-4310 |
| Practice Telephone | 7735880180 |
| Mailing Telephone | 7735880180 |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2016-12-22 |
| Authorized Official Name | JONATHAN STACY (EXECUTIVE ASSISTANT) |
| Authorized Official Telephone | 7735880180 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 2B05CHR011 | 05 |
| Other Name | Type Code |
|---|---|
| Uhlich Childrens Advantage Network | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346803111 | Ucan | Clinic/Center | 212 S Francisco Ave, Chicago, IL 60612-3618 | 2019-04-17 |
| 1568796001 | Ucan | Community/Behavioral Health | 13700 S Indiana Ave, Riverdale, IL 60827-1842 | 2009-10-01 |
| 1447584990 | Ucan | Foster Care Agency | 3605 W. Fillmore St., Chicago, IL 60624-4309 | 2009-09-30 |
| 1356385199 | Ucan | Local Education Agency (LEA) | 10046 S. Western Ave., Chicago, IL 60643 | 2006-06-15 |
| 1811221666 | Ucan | Clinic/Center | 830 W End Ct, Vernon Hills, IL 60061-1365 | 2009-09-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UCAN | 3605 W Fillmore St, Chicago, IL 60624-4310 |
| Oregon Corporations, Companies and Business Names | UCAN | 280 Kenneth Ford Drive, Roseburg, OR 97470 |
| System for Award Management (SAM) Entities | UCAN COMPANY, THE | 11 Research Dr Ste 1, Woodbridge, CT 06525-2350 |
| Massachusetts Corporations | UCAN CORPORATION | Mellon Bank,n.a., Mellon Square-rm 2531, Pittsburgh, PA 15230 |
| New York State Corporations | UCAN LOGISTICS CORP. | 2301 Kings Highway, Apt 4m, Brooklyn, Ny 11229 |
| Oregon Corporations, Companies and Business Names | UCAN MONEY MANAGEMENT | 280 Kenneth Ford Drive, Roseburg, OR 97470 |
| System for Award Management (SAM) Entities | UCAN ZIPPERS | 1930 Long Beach Ave, Los Angeles, CA 90058-1020 |
| New York State Corporations | UCAN, INC. | Rev. Michael Schuenemeyer, 700 Prospect Ave. E., Cleveland, Oh 441151100 |
| Massachusetts Corporations | UCAN, INC. | 84 State St., C/o Richard B. Osterberg, Esq., Boston, MA 02109 |
| New York State Corporations | UCAN-OGDEN HOUSING DEVELOPMENT FUND CORP. | 1044 Northern Blvd. 2nd Fl., Roslyn, Ny 11576 |
| Street Address |
3640 W FILLMORE ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60624-4309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071932 | Euginia Ivanova | Counselor | 3410 W. Roosevelt Rd, Chicago, IL 60624 | 2020-10-19 |
| 1629619572 | Denise R Bean | Technician | 3322 West Polk St, Chicago, IL 60624 | 2019-10-02 |
| 1033693742 | Ahmed Hussain Memon | Nurse Practitioner | 3800 West Madison, Chicago, IL 60624 | 2018-09-18 |
| 1487104006 | Jeffrey Blythe | Social Worker | 3605 W. Fillmore Street, Ucan, Chicago, IL 60624 | 2016-10-06 |
| 1366992216 | Brian Macwilliams | Social Worker | 3605 W. Fillmore St, Chicago, IL 60624 | 2016-10-04 |
| 1982151510 | Darryl Lamont Clayton | Counselor | 3605 W. Fillmore, Chicago, IL 60624 | 2016-09-01 |
| 1821487646 | Total Enrichment Services Inc. | Counselor | 3335 W Washington Blvd, Chicago, IL 60624 | 2015-01-16 |
| 1295038818 | Raad N Rashan M D S C | Internal Medicine | 3743 W Chicago Ave, Chicago, IL 60624 | 2010-12-21 |
| 1194044453 | Theresa Roberts | Speech-Language Pathologist | 3240 W. Franklin Blvd, Chicago, IL 60624 | 2010-05-26 |
| 1154570208 | Ht Outpatient Pharmacy | Pharmacy | 3435 W Vanburen St, Chicago, IL 60624 | 2008-09-13 |
| Find all providers in zip 60624 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851866867 | Sonia Shankman Orthogenic School | Residential Treatment Facility, Emotionally Disturbed Children | Sonia Shankman Orthogenic School, 6245 South Ingleside Ave, Chicago, IL 60637-2621 | 2018-10-05 |
| 1891045241 | Association House of Chicago | Residential Treatment Facility, Emotionally Disturbed Children | 1900 North Sawyer Avenue, Chicago, IL 60651 | 2012-09-13 |
| 1992054498 | Eric Family Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4452 W Thomas St, Chicago, IL 60651-3406 | 2012-08-30 |
| 1386920221 | Ibukun Comprehensive Community Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 6752 S Perry Ave, Chicago, IL 60621-3714 | 2011-10-24 |
| 1487933495 | Uhlich Children's Advantage Network | Residential Treatment Facility, Emotionally Disturbed Children | 3730 N California Ave, Chicago, IL 60618-3604 | 2011-08-08 |
| 1184680175 | E.r.i.c. Family Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 6120 W North Ave, Ste 202, Chicago, IL 60639-3901 | 2006-04-26 |
| 1720351299 | Julie Jacobs | Residential Treatment Facility, Emotionally Disturbed Children | 7313 N Honore St, #2, Chicago, IL 60626-1794 | 2012-02-14 |
| 1902173966 | Eric Family Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1900 N Austin Ave, Chicago, IL 60639-5010 | 2011-11-18 |
| 1174574016 | Jamal Place, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1335 S California Ave, Chicago, IL 60608-1611 | 2006-05-15 |
| 1235197583 | Lydia Home Association | Residential Treatment Facility, Emotionally Disturbed Children | 4300 W Irving Park Rd, Chicago, IL 60641-2825 | 2006-05-03 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on UCAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.