GENESIS CILA HOMES INC (NPI# 1780135194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780135194 |
Entity Type | Organization |
Organization Name | GENESIS CILA HOMES INC |
Practice Address |
441 S Dante Ave Glenwood IL 60425-2045 |
Practice Telephone | 7089150920 |
Practice Fax Number | 7087580695 |
Enumeration Date | 2016-10-20 |
Last Update Date | 2016-10-20 |
Authorized Official Name | PHILOMENA ODIASE (CEO) |
Authorized Official Telephone | 7089150920 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 201500005C | IL | Residential Treatment Facilities |
Street Address |
441 S DANTE AVE |
City | GLENWOOD |
State | IL |
Zip Code | 60425-2045 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790161701 | Philomena Odiase | Community/Behavioral Health | 441 S Dante Ave, Glenwood, IL 60425-2045 | 2015-08-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902428147 | Aperion Care Glenwood LLC | Skilled Nursing Facility | 19330 South College Grove, Glenwood, IL 60425 | 2020-05-11 |
1073135224 | Aperion Care Glenwood LLC | Durable Medical Equipment & Medical Supplies | 19330 South College Grove Ave, Glenwood, IL 60425 | 2020-05-11 |
1750757159 | Guameda Eady | Nurse Practitioner | 19310 S Halsted, Jencare Neighborhood Medical Center Glenwood, LLC, Glenwood, IL 60425 | 2015-08-19 |
1992704217 | Michelle Meeks | Family Medicine | 19310 S Halsted St, Glenwood, IL 60425 | 2005-07-19 |
1285885889 | Ck Transportation Inc | Non-emergency Medical Transport (VAN) | 18451 S Halsted St Ste 4, Glenwood, IL 60425-1009 | 2008-10-01 |
1265663157 | Basit G. Nisbeth | Dentist | 18430 S Halsted St, Glenwood, IL 60425-1013 | 2009-07-27 |
1285180554 | Bmc Family Dentistry LLC | Clinic/Center | 18430 S Halsted St, Suite 201, Glenwood, IL 60425-1013 | 2016-08-28 |
1013225788 | Advocate Home Health Care and Wellness Council, Inc. | Home Health | 18430 S Halsted St, 202, Glenwood, IL 60425-1013 | 2010-09-16 |
1588939003 | Dabrene P Goree | Social Worker | 1122 W Iowa St, Glenwood, IL 60425-1025 | 2012-03-16 |
1013078237 | Rochelle L Turner | Massage Therapist | 1050 W Ohio St, Glenwood, IL 60425-1031 | 2006-12-12 |
Find all providers in zip 60425 |
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 |
---|---|---|---|---|
1275131419 | Foatex Health Cilacare | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 823 163rd St, Calumet City, IL 60409-5915 | 2020-10-10 |
1053949404 | A Great Place To Stay LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 35580 N Knowles Rd, Lake Villa, IL 60046-9026 | 2020-03-31 |
1255966602 | Infinicare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1939 Waukegan Rd Ste 300, Glenview, IL 60025-1758 | 2020-03-05 |
1023643772 | Supporting Community Independence | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Polo Grounds Ct, Bethalto, IL 62010-2623 | 2020-03-03 |
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 |
1487292660 | Shalom Home Health Ltd | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8147 Seminole Ct, Orland Park, IL 60462-4919 | 2019-12-18 |
1447894613 | Compassionate Living Home Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2625 Butterfield Rd Ste 314e, Oak Brook, IL 60523-1234 | 2019-10-31 |
1417599945 | Miracle Comprehensive Serivces | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4440 Lincoln Hwy Ste 205, Matteson, IL 60443-3803 | 2019-10-16 |
1609435072 | Bliss Haven, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1304 Durham St, Johnston City, IL 62951-2043 | 2019-06-10 |
Find all providers with the same taxonomy |
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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.