A NEW AGE HUMAN SERVICES CORP.


Address: 5328 W Parker Ave, Chicago, IL 60639-1521
Phone: 7732378793

A NEW AGE HUMAN SERVICES CORP. (NPI# 1730623786) 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) 1730623786
Entity Type Organization
Organization Name A NEW AGE HUMAN SERVICES CORP.
Other Organization Name NEW AGE HUMAN SERVICES
Practice Address 5328 W Parker Ave
Chicago
IL 60639-1521
Practice Telephone 7732378793
Practice Fax Number 7085755903
Mailing Telephone 7732378793
Mailing Fax Number 7085755903
Enumeration Date 2016-12-10
Last Update Date 2016-12-10
Authorized Official Name CHARISSA MUNOZ-LIGO (EXECUTIVE DIRECTOR/QIDP/RN)
Authorized Official Telephone 7734911480
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 201500008C IL Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
New Age Human Services Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities A NEW AGE HUMAN SERVICES CORP. 2953 N. Nashville Ave., Chicago, IL 60634-4907

Office Location

Street Address 5328 W PARKER AVE
City CHICAGO
State IL
Zip Code 60639-1521

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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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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
1831643121 Lajaed Corporation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8026 S Wood St, Chicago, IL 60620-4546 2016-08-04
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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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