JAMAL PLACE, INC.


Address: 1335 S California Ave, Chicago, IL 60608-1611
Phone: 7732776631

JAMAL PLACE, INC. (NPI# 1174574016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174574016
Entity Type Organization
Organization Name JAMAL PLACE, INC.
Practice Address 1335 S California Ave
Chicago
IL 60608-1611
Mailing Address 1335 S. California Ave
Chicago
IL 60608-1611
Practice Telephone 7732776631
Practice Fax Number 7732777049
Mailing Telephone 7732776631
Mailing Fax Number 7732777049
Enumeration Date 2006-05-15
Last Update Date 2020-08-22
Authorized Official Name BRIAN BARCLAY (TLP DIRECTOR)
Authorized Official Telephone 7737225270
Authorized Official Credential MSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children 246705-05 IL Residential Treatment Facilities

Office Location

Street Address 1335 S CALIFORNIA AVE
City CHICAGO
State IL
Zip Code 60608-1611

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437117520 Jamal Place Inc Community Based Residential Treatment Facility, Mental Illness 1335 S California Ave, Chicago, IL 60608 2006-05-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699390047 Bethuna Shields Occupational Therapist 1401 South California Ave, Chicago, IL 60608 2020-06-11
1861024176 Mount Sinai Community Foundation Clinic/Center 1414 S Fairfield, Chicago, IL 60608 2020-02-05
1205481058 Joshua Hartman Pharmacist 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 2019-08-08
1194386706 Mount Sinai Hospital, Chicago Internal Medicine Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 2019-06-25
1841754256 Julia Bates Occupational Therapist 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 2019-01-30
1194205781 Anais J Robles Contractor 1626 S Allport St, Chicago, IL 60608 2018-08-14
1114412970 Dmitri Zbarsky Internal Medicine 1500 South Fairfield Ave., F-914, Chicago, IL 60608 2018-06-25
1740773050 Alexia Ilian Derma Salazar Speech-Language Pathologist 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 2018-06-11
1912424730 Pareen Modi Pharmacist 2539 South Western Avenue, Chicago, IL 60608 2017-08-23
1952824302 Raquel Gonzalez Heredia Surgery 1500 South Fairfield Ave, Chicago, IL 60608 2017-07-18
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Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
1235197583 Lydia Home Association Residential Treatment Facility, Emotionally Disturbed Children 4300 W Irving Park Rd, Chicago, IL 60641-2825 2006-05-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801363551 Kemmerer Village Inc. Residential Treatment Facility, Emotionally Disturbed Children 941 N. 2500 East Road, Assumption, IL 62510 2018-10-31
1538635198 Center for Comprehensive Services, Inc Residential Treatment Facility, Emotionally Disturbed Children 901 S Busse Rd, Mt Prospect, IL 60056-4006 2018-10-22
1982188637 Nexus Family Healing Residential Treatment Facility, Emotionally Disturbed Children 109 North Poplar Street, Onarga, IL 60955 2018-09-19
1326532888 Cunningham Children's Home of Urbana Il Residential Treatment Facility, Emotionally Disturbed Children 1303 N. Cunningham Avenue, Urbana, IL 61821 2018-06-19
1760924732 The Center for Youth and Family Solutions Residential Treatment Facility, Emotionally Disturbed Children 260 E. Queenwood Rd., Cyfs Educational Building, Morton, IL 61550 2016-11-08
1881058329 The Center for Youth and Family Solutions Residential Treatment Facility, Emotionally Disturbed Children 260 E Queenwood Rd, Morton, IL 61550-9726 2016-04-11
1942621768 Arrowhead Ranch Inc. Residential Treatment Facility, Emotionally Disturbed Children 12228 104th St, Coal Valley, IL 61240-9712 2013-12-20
1588004667 Nexus Family Healing Residential Treatment Facility, Emotionally Disturbed Children 175 Evergreen, Manteno, IL 60950 2013-07-03
1649610841 Nexus Family Healing Residential Treatment Facility, Emotionally Disturbed Children 325 Hemlock, Manteno, IL 60950 2013-07-02
1811337280 Nexus Family Healing Residential Treatment Facility, Emotionally Disturbed Children 215 Hemlock, Manteno, IL 60950 2013-07-01
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Competitor

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City CHICAGO
Zip Code 60608

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Dataset Information

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.

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