MISERICORDIA HOME (NPI# 1386094480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386094480 |
| Entity Type | Organization |
| Organization Name | MISERICORDIA HOME |
| Practice Address |
6300 N Ridge Ave Chicago IL 60660-1017 |
| Practice Telephone | 7732734191 |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2016-06-20 |
| Authorized Official Name | STEVE SCHUETH (CONTROLLER) |
| Authorized Official Telephone | 7732734191 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | IL | Agencies | |
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2000594 | IL | Residential Treatment Facilities |
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2000644 | IL | Residential Treatment Facilities |
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 199600013C | IL | Residential Treatment Facilities |
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2000602 | IL | Residential Treatment 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 |
| 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 |
| 1063715878 | 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 |
| 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 |
| 1063715878 | 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 | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770116287 | Universal Homes LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12101 S La Salle St, Chicago, IL 60628-6618 | 2020-02-13 |
| 1760014625 | Tomeka R Morgan | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11543 S Ashland Ave, Chicago, IL 60643-5001 | 2020-02-10 |
| 1457839821 | Adorn Health, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 190 South Lasalle Street, #2100, Chicago, IL 60603-0003 | 2018-07-30 |
| 1215423538 | Alyssa Jaye Saterfield | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1447 W Montrose Ave, Chicago, IL 60613-1348 | 2018-07-10 |
| 1336635135 | Essential Lifestyles LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7408 S Harvard Ave, Chicago, IL 60621-3424 | 2018-07-03 |
| 1184113987 | Ohana Community Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4931 W Thomas St, Chicago, IL 60651-3129 | 2018-05-07 |
| 1124523352 | Tylers Place | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7347 S Claremont Ave, Chicago, IL 60636-3627 | 2018-03-29 |
| 1992207724 | Universal Homes LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12512 S Wallace St, Chicago, IL 60628-7130 | 2018-03-07 |
| 1730623786 | A New Age Human Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5328 W Parker Ave, Chicago, IL 60639-1521 | 2016-12-10 |
| 1831643121 | Lajaed Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8026 S Wood St, Chicago, IL 60620-4546 | 2016-08-04 |
| 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.