MISERICORDIA HOME (NPI# 1366479768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366479768 |
| Entity Type | Organization |
| Organization Name | MISERICORDIA HOME |
| Practice Address |
6300 N Ridge Ave Chicago IL 60660-1017 |
| Practice Telephone | 7739736300 |
| Mailing Telephone | 7739736300 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. MARY PAT O'BRIEN (ADMINISTRATOR) |
| Authorized Official Telephone | 7732734169 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 0032599 | IL | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003864844 | Misericordia Home | Intermediate Care Facility, Mentally Retarded | 6300 N Ridge Ave, Chicago, IL 60660-1017 | 2006-05-04 |
| 1093350134 | Misericordia Home | Clinic/Center | 6300 N Ridge Ave, Chicago, IL 60660-1017 | 2019-11-13 |
| 1386094480 | Misericordia Home | Day Training, Developmentally Disabled Services | 6300 N Ridge Ave, Chicago, IL 60660-1017 | 2016-06-20 |
| 1861849721 | Misericordia Home | Intermediate Care Facility, Mentally Retarded | 6300 N Ridge Ave, Chicago, IL 60660-1017 | 2016-05-20 |
| 1134576093 | Misericordia Home | Intermediate Care Facility, Mentally Retarded | 6300 N Ridge Ave, Chicago, IL 60660-1017 | 2016-05-20 |
| 1871940734 | Misericordia Home | Intermediate Care Facility, Mentally Retarded | 6300 N Ridge Ave, Chicago, IL 60660-1017 | 2016-05-20 |
| 1043667900 | Misericordia Home | Intermediate Care Facility, Mentally Retarded | 6300 N Ridge Ave, Chicago, IL 60660-1017 | 2016-05-20 |
| 1447610027 | Misericordia Home | Intermediate Care Facility, Mentally Retarded | 6300 N Ridge Ave, Chicago, IL 60660-1017 | 2016-02-25 |
| 1396049391 | Misericordia Home | Intermediate Care Facility, Mentally Retarded | 6300 N Ridge Ave, Chicago, IL 60660-1017 | 2011-01-05 |
| 1972806784 | Misericordia Home | Intermediate Care Facility, Mentally Retarded | 6300 N Ridge Ave, Chicago, IL 60660-1017 | 2010-12-16 |
| Street Address |
6300 N RIDGE AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60660-1017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003864844 | Misericordia Home | Intermediate Care Facility, Mentally Retarded | 6300 N Ridge Ave, Chicago, IL 60660-1017 | 2006-05-04 |
| 1093350134 | Misericordia Home | Clinic/Center | 6300 N Ridge Ave, Chicago, IL 60660-1017 | 2019-11-13 |
| 1386094480 | Misericordia Home | Day Training, Developmentally Disabled Services | 6300 N Ridge Ave, Chicago, IL 60660-1017 | 2016-06-20 |
| 1861849721 | Misericordia Home | Intermediate Care Facility, Mentally Retarded | 6300 N Ridge Ave, Chicago, IL 60660-1017 | 2016-05-20 |
| 1134576093 | Misericordia Home | Intermediate Care Facility, Mentally Retarded | 6300 N Ridge Ave, Chicago, IL 60660-1017 | 2016-05-20 |
| 1871940734 | Misericordia Home | Intermediate Care Facility, Mentally Retarded | 6300 N Ridge Ave, Chicago, IL 60660-1017 | 2016-05-20 |
| 1043667900 | Misericordia Home | Intermediate Care Facility, Mentally Retarded | 6300 N Ridge Ave, Chicago, IL 60660-1017 | 2016-05-20 |
| 1447610027 | Misericordia Home | Intermediate Care Facility, Mentally Retarded | 6300 N Ridge Ave, Chicago, IL 60660-1017 | 2016-02-25 |
| 1396049391 | Misericordia Home | Intermediate Care Facility, Mentally Retarded | 6300 N Ridge Ave, Chicago, IL 60660-1017 | 2011-01-05 |
| 1972806784 | Misericordia Home | Intermediate Care Facility, Mentally Retarded | 6300 N Ridge Ave, Chicago, IL 60660-1017 | 2010-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225672280 | Alexis Shelton | Behavior Technician | 6317 N Broadway, Chicago, IL 60660 | 2019-11-03 |
| 1912470105 | Pipeline - Lakefront Medical Associates, LLC | Family Medicine | 6201 North Broadway, Chicago, IL 60660 | 2019-01-10 |
| 1417492224 | Aynur Fataliyeva | Non-emergency Medical Transport (VAN) | 5701 N Sheridan Road, Apt 20g, Chicago, IL 60660 | 2017-01-03 |
| 1285187591 | Bryan Moles | Developmental Therapist | 6157 N Kenmore, Apt #4s, Chicago, IL 60660 | 2016-08-03 |
| 1144609181 | Ebm Consulting LLC | Anesthesiology | 5600 N Sheridan Road, #115, Chicago, IL 60660 | 2015-05-22 |
| 1295134112 | Brent E Agran, Dds, LLC | Dentist | 5820 N. Clark St., 1s, Chicago, IL 60660 | 2014-08-15 |
| 1538573258 | Emily Eaton | Student in an Organized Health Care Education/Training Program | 5643 N. Magnolia Ave, Chicago, IL 60660 | 2014-06-20 |
| 1538572664 | Rozina Altaf Virani | Nurse Practitioner | 6033 N Sheridan Rd Ste N6, Chicago, IL 60660 | 2014-06-05 |
| 1548673866 | Emily Mckernan | Social Worker | 5710 N Broadway Ave, Chicago, IL 60660 | 2014-06-04 |
| 1679902324 | Christopher Burgess | Psychologist | 1554 W Hollywood, #storefront, Chicago, IL 60660 | 2013-11-04 |
| Find all providers in zip 60660 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588842470 | St. Mary of Providence | Intermediate Care Facility, Mentally Retarded | 4200 N Austin Ave, Chicago, IL 60634-1615 | 2008-02-04 |
| 1871650655 | Progressive Housing, Inc. | Intermediate Care Facility, Mentally Retarded | 7270 S South Shore Dr, Chicago, IL 60649-2718 | 2007-01-02 |
| 1003864844 | Misericordia Home | Intermediate Care Facility, Mentally Retarded | 6300 N Ridge Ave, Chicago, IL 60660-1017 | 2006-05-04 |
| 1861849721 | Misericordia Home | Intermediate Care Facility, Mentally Retarded | 6300 N Ridge Ave, Chicago, IL 60660-1017 | 2016-05-20 |
| 1134576093 | Misericordia Home | Intermediate Care Facility, Mentally Retarded | 6300 N Ridge Ave, Chicago, IL 60660-1017 | 2016-05-20 |
| 1871940734 | Misericordia Home | Intermediate Care Facility, Mentally Retarded | 6300 N Ridge Ave, Chicago, IL 60660-1017 | 2016-05-20 |
| 1043667900 | Misericordia Home | Intermediate Care Facility, Mentally Retarded | 6300 N Ridge Ave, Chicago, IL 60660-1017 | 2016-05-20 |
| 1447610027 | Misericordia Home | Intermediate Care Facility, Mentally Retarded | 6300 N Ridge Ave, Chicago, IL 60660-1017 | 2016-02-25 |
| 1396049391 | Misericordia Home | Intermediate Care Facility, Mentally Retarded | 6300 N Ridge Ave, Chicago, IL 60660-1017 | 2011-01-05 |
| 1972806784 | Misericordia Home | Intermediate Care Facility, Mentally Retarded | 6300 N Ridge Ave, Chicago, IL 60660-1017 | 2010-12-16 |
| Find all providers in CHICAGO | ||||
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| 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.