E.R.I.C. FAMILY SERVICES, INC.


Address: 6120 W North Ave, Ste 202, Chicago, IL 60639-3901
Phone: 7737453742

E.R.I.C. FAMILY SERVICES, INC. (NPI# 1184680175) 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) 1184680175
Entity Type Organization
Organization Name E.R.I.C. FAMILY SERVICES, INC.
Other Organization Name E.R.I.C. GROUP HOME ONE
Practice Address 6120 W North Ave
Ste 202
Chicago
IL 60639-3901
Practice Telephone 7737453742
Practice Fax Number 7737540655
Mailing Telephone 7737453742
Mailing Fax Number 7737540655
Enumeration Date 2006-04-26
Last Update Date 2020-08-22
Authorized Official Name DR. SHEILA C. CURREN (EXECUTIVE DIRECTOR)
Authorized Official Telephone 7737453742
Authorized Official Credential PH.D., LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children 244670 IL Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
E.R.I.C. Group Home One Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1841258860 E.r.i.c. Family Services, Inc. Voluntary or Charitable 6120 W North Ave, Ste 202, Chicago, IL 60639-3901 2006-05-01

Office Location

Street Address 6120 W NORTH AVE
STE 202
City CHICAGO
State IL
Zip Code 60639-3901

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184642928 Rls Comprehensive Services Psychiatry & Neurology 6120 W North Ave, Suite 204, Chicago, IL 60639-3901 2006-07-18
1841258860 E.r.i.c. Family Services, Inc. Voluntary or Charitable 6120 W North Ave, Ste 202, Chicago, IL 60639-3901 2006-05-01

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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.

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Competitor

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City CHICAGO
Zip Code 60639

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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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