LORETTO HOSPITAL (NPI# 1831364132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831364132 |
| Entity Type | Organization |
| Organization Name | LORETTO HOSPITAL |
| Other Organization Name | LORETTO OUTPATIENT MENTAL HEALTH |
| Practice Address |
5130 W Jackson Blvd Chicago IL 60644-4332 |
| Mailing Address |
645 S Central Ave Chicago IL 60644-5059 |
| Practice Telephone | 7738545072 |
| Practice Fax Number | 7732870077 |
| Mailing Telephone | 7738545000 |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2018-12-05 |
| Authorized Official Name | CATHY WILLIAMS (DIRECTOR OF BUSINESS OFFICE) |
| Authorized Official Telephone | 7738545066 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
1706406 | IL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Loretto Outpatient Mental Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326516584 | Loretto Hospital | Clinic/Center | 7431 S East End Ave, Floor 1st Suite 2, Chicago, IL 60649-3611 | 2018-11-06 |
| 1568958726 | Loretto Hospital | Clinic/Center | 1000 Madison St, Oak Park, IL 60302 | 2018-07-10 |
| 1306318753 | Loretto Hospital | Counselor | 645 S Central Ave, Chicago, IL 60644-5059 | 2018-12-26 |
| 1376025304 | Loretto Hospital | Clinic/Center | 5130 W Jackson Blvd, Chicago, IL 60644-4332 | 2018-09-06 |
| 1073092359 | Loretto Hospital | Clinic/Center | 6905 Cermak Rd Ste A, Berwyn, IL 60402-2175 | 2018-08-08 |
| 1801314380 | Loretto Hospital | Clinic/Center | 645 S Central Ave, Chicago, IL 60644-5059 | 2017-09-05 |
| 1801336193 | Loretto Hospital | Substance Abuse Rehabilitation Facility | 645 S Central Ave, Chicago, IL 60644-5059 | 2017-03-06 |
| 1215395496 | Loretto Hospital | Substance Abuse Rehabilitation Facility | 645 S Central Ave, Chicago, IL 60644-5059 | 2016-02-03 |
| 1023342664 | Loretto Hospital | Clinic/Center | 645 S Central Ave, Chicago, IL 60644-5059 | 2009-09-30 |
| 1447280284 | Loretto Hospital | General Acute Care Hospital | 645 S Central Ave, Chicago, IL 60644-5059 | 2006-07-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LORETTO HOSPITAL | 645 S Central Ave, Chicago, IL 60644-5059 |
| Street Address |
5130 W JACKSON BLVD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60644-4332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740351972 | Jackson Corp | Durable Medical Equipment & Medical Supplies | 5130 W Jackson Blvd, Chicago, IL 60644-4332 | 2006-11-10 |
| 1437708963 | Jessica Lake | Speech-Language Pathologist | 5130 W Jackson Blvd, Chicago, IL 60644-4332 | 2019-09-07 |
| 1376025304 | Loretto Hospital | Clinic/Center | 5130 W Jackson Blvd, Chicago, IL 60644-4332 | 2018-09-06 |
| 1578941340 | Symphony Jackson Square LLC | Skilled Nursing Facility | 5130 W Jackson Blvd, Chicago, IL 60644-4332 | 2015-05-13 |
| 1881006989 | Jennifer Burns | Occupational Therapist | 5130 W Jackson Blvd, Chicago, IL 60644-4332 | 2014-05-22 |
| 1235554486 | Bryan De Rosas | Occupational Therapist | 5130 W Jackson Blvd, Chicago, IL 60644-4332 | 2014-02-25 |
| 1740540848 | Emily R Gomeztagle | Speech-Language Pathologist | 5130 W Jackson Blvd, Chicago, IL 60644-4332 | 2012-05-22 |
| 1356578900 | Jackson Square Skilled Nursing Aand Living | Durable Medical Equipment & Medical Supplies | 5130 W Jackson Blvd, Chicago, IL 60644-4332 | 2009-06-22 |
| 1588816623 | Jackson Corp | Skilled Nursing Facility | 5130 W Jackson Blvd, Chicago, IL 60644-4332 | 2008-10-21 |
| 1255592234 | Green Healthcare Ltd. | Nurse Practitioner | 5130 W Jackson Blvd, Chicago, IL 60644-4332 | 2008-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710535638 | Marta Yvonne Palmer | Technician | 5008 W Adams, Chicago, IL 60644 | 2019-09-04 |
| 1861056848 | B U I L D Incorporated | Social Worker | 5100 W Harrison St., Chicago, IL 60644 | 2019-04-25 |
| 1851806269 | Habilitative Systems, Inc. | Case Management | 4732 W Ohio St, Chicago, IL 60644 | 2017-12-07 |
| 1336408665 | Meghan Nancy Daw | Dietitian, Registered | 646 S Central Ave, Chicago, IL 60644 | 2012-05-07 |
| 1164790515 | Elizabeth Eleanor Reid-tate | Pharmacist | 5222 W. Madison Avenue, Chicago, IL 60644 | 2011-12-13 |
| 1134458466 | Power Teen Program | Psychologist | 300 N Central Ave, Chicago, IL 60644 | 2009-12-16 |
| 1417198342 | Betty Jean Lofton | Counselor | 5938 W. Midway Park, Chicago, IL 60644 | 2009-03-24 |
| 1881856094 | Sanjay M. Patel M.d. S.c. | Psychiatry & Neurology | 5730 W. Roosevelt Road, Chicago, IL 60644 | 2008-06-29 |
| 1639348691 | Ysl Care, Inc | Community Based Residential Treatment Facility, Mental Illness | 5107-21 West Jackson Blvd, Chicago, IL 60644 | 2008-02-25 |
| 1073795845 | Maryanne Rakidzioski | Occupational Therapist | 5103 W Jackson Blvd, Chicago, IL 60644 | 2007-12-03 |
| Find all providers in zip 60644 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386241123 | Envision Unlimited | Clinic/Center | 1801 N Spaulding Ave, Chicago, IL 60647-4926 | 2020-10-05 |
| 1881291789 | Jessica Weisbach, LLC | Clinic/Center | 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 | 2020-10-04 |
| 1619574803 | Envision Unlimited | Clinic/Center | 2124 W 82nd Pl, Chicago, IL 60620-5358 | 2020-10-01 |
| 1144827320 | Envision Unlimited | Clinic/Center | 4919 N Clark St, Chicago, IL 60640-3514 | 2020-10-01 |
| 1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
| 1144837055 | Totality. Therapies LLC | Clinic/Center | 2027 W Division St Ste 157, Chicago, IL 60622-9024 | 2020-09-24 |
| 1790391373 | Luminary Solutions, LLC | Clinic/Center | 3166 N Lincoln Ave Ste 305, Chicago, IL 60657-3119 | 2020-09-19 |
| 1114533924 | A Safe Haven, L.L.C. | Clinic/Center | 600 S Wabash Ave, Chicago, IL 60605-1808 | 2020-09-17 |
| 1235745142 | A Safe Haven, L.L.C. | Clinic/Center | 7355 N Damen Ave, Chicago, IL 60645-2311 | 2020-09-17 |
| 1386250199 | A Safe Haven, L.L.C. | Clinic/Center | 7342-46 S Kingston, Chicago, IL 60649 | 2020-09-17 |
| 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.