JACKSON PARK HOSPITAL FOUNDATION (NPI# 1396250304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396250304 |
Entity Type | Organization |
Organization Name | JACKSON PARK HOSPITAL FOUNDATION |
Other Organization Name | PSYCHIATRIC UNIT |
Practice Address |
7531 S Stony Island Ave Chicago IL 60649-3954 |
Practice Telephone | 7739477500 |
Mailing Telephone | 7739477500 |
Enumeration Date | 2017-12-13 |
Last Update Date | 2020-01-28 |
Authorized Official Name | MR. BARRY R MANDELL (VP OF SPECIAL PROJECTS) |
Authorized Official Telephone | 7739477701 |
Is Organization Subpart | Y |
Parent Organization Name | JACKSON PARK HOSPITAL FOUNDATION |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 273R00000X | Psychiatric Unit | 0001115 | IL | Hospital Units |
Other Name | Type Code |
---|---|
Psychiatric Unit | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497750699 | Jackson Park Hospital Foundation | Psychiatric Unit | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2005-06-15 |
Street Address |
7531 S STONY ISLAND AVE |
City | CHICAGO |
State | IL |
Zip Code | 60649-3954 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497750699 | Jackson Park Hospital Foundation | Psychiatric Unit | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2005-06-15 |
1760089718 | Chicago Pain Medicine Center | Durable Medical Equipment & Medical Supplies | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2020-10-02 |
1093332561 | Lubna Hashmi | Student in an Organized Health Care Education/Training Program | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2020-07-01 |
1144847963 | Anuja Trivedi | Family Medicine | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2020-06-27 |
1487279824 | Nsisongikanabasi Mfon Udoh | Student in an Organized Health Care Education/Training Program | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2020-06-11 |
1689212581 | Great Lakes Emergency Physicians Medical Group Sc | Emergency Medicine | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2019-12-11 |
1205496551 | Mosleh Uddin Ahmed | Family Medicine | 7531 S Stony Island Ave, Chicago, IL 60649-3993 | 2019-06-19 |
1982264230 | Alina Haider | Family Medicine | 7531 S Stony Island Ave, Chicago, IL 60649-3993 | 2019-06-18 |
1720648074 | Madiha Batool Khan | Family Medicine | 7531 S Stony Island Ave, Chicago, IL 60649-3993 | 2019-06-18 |
1548820228 | Aung Naing Min | Family Medicine | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2019-06-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386250199 | A Safe Haven, L.L.C. | Clinic/Center | 7342-46 S Kingston, Chicago, IL 60649 | 2020-09-17 |
1477178713 | Angela K Coleman | Counselor | 1955 E 71st Street, Chicago, IL 60649 | 2020-06-12 |
1245880715 | Familydoc Urgent Care LLC | Clinic/Center | 7201 S Stony Island Ave, Chicago, IL 60649 | 2019-09-17 |
1912498668 | Venessel N/a Woodson I | Radiology | 7674 S. Southshore Dr #1n, Chicago, IL 60649 | 2018-05-29 |
1689117764 | Susana Jimenez | Occupational Therapy Assistant | 2649 E. 75th St, Chicago, IL 60649 | 2016-11-22 |
1063863579 | Regina Whittmon | Driver | 7808 S Coles Ave Apt 3, Chicago, IL 60649 | 2016-06-27 |
1174912356 | Montsho Gallardo | Doula | 7653 S Coles Ave, Chicago, IL 60649 | 2015-01-12 |
1780922120 | April Ong | Physical Therapist | 6700 S Oglesby Ave, Apt 1906, Chicago, IL 60649 | 2013-01-18 |
1114288594 | Days Adult Day Care and Personal Care Providers Inc | Clinic/Center | 2455 E 75th St, Chicago, IL 60649 | 2012-06-02 |
1891064887 | Kevin Forrest | Occupational Therapist | 2425 E. 71st Street, Chicago, IL 60649 | 2011-12-20 |
Find all providers in zip 60649 |
Taxonomy Code | 273R00000X |
Grouping | Hospital Units |
Classification | Psychiatric Unit |
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
1427547538 | Holy Cross Hospital | Psychiatric Unit | 2701 West 68th Street, Chicago, IL 60629 | 2018-05-03 |
1669704326 | Isaac Ray Center At Cermak | Psychiatric Unit | 3159 N Seminary #301, Chicago, IL 60657 | 2010-02-05 |
1316115223 | 394567 D North | Psychiatric Unit | 4200 North Oak Park Ave, Chicago, IL 60634-1417 | 2008-02-13 |
1508034414 | 395061 Med Eval | Psychiatric Unit | 4200 North Oak Park Avenue, Chicago, IL 60634-1417 | 2008-02-13 |
1871678334 | Kindred Thc Chicago, LLC | Psychiatric Unit | 2544 W Montrose Ave, Chicago, IL 60618 | 2006-10-25 |
1538114392 | Bhc Streamwood Management Services LLC | Psychiatric Unit | 2233 W Division 15th Floor, Chicago, IL 60622 | 2006-05-23 |
1972594877 | Norwegian American Hospital Incorporated | Psychiatric Unit | 1044 North Francisco, Chicago, IL 60622 | 2005-10-31 |
1497750699 | Jackson Park Hospital Foundation | Psychiatric Unit | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2005-06-15 |
1912473927 | Pipeline - Weiss Memorial Hospital, LLC | Psychiatric Unit | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2018-10-17 |
Find all providers in CHICAGO |
Please comment or provide details below to improve the information on JACKSON PARK HOSPITAL FOUNDATION.
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.