ERIC FAMILY SERVICES, INC. (NPI# 1902173966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902173966 |
| Entity Type | Organization |
| Organization Name | ERIC FAMILY SERVICES, INC. |
| Practice Address |
1900 N Austin Ave Chicago IL 60639-5010 |
| Practice Telephone | 7737453742 |
| Practice Fax Number | 7737450655 |
| Mailing Telephone | 7737453742 |
| Mailing Fax Number | 7737450655 |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2011-11-18 |
| Authorized Official Name | MS. SANDRA BRAINE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7737453742 |
| Authorized Official Credential | MSW, LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 149003227 | IL | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992054498 | Eric Family Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4452 W Thomas St, Chicago, IL 60651-3406 | 2012-08-30 |
| Street Address |
1900 N AUSTIN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60639-5010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932259470 | Mcs Global Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 1900 N Austin Ave, Suite 100, Chicago, IL 60639-5010 | 2007-01-10 |
| 1326405077 | Shiloh Ambulance and Medivan Services Inc | Ambulance | 1900 N Austin Ave, Chicago, IL 60639-5010 | 2016-01-26 |
| 1457623340 | Ovine Homehealth, Inc. | Home Health | 1900 N Austin Ave, Suite 100, Chicago, IL 60639-5010 | 2012-02-07 |
| 1144513573 | First Call Ambulance Services Inc | Ambulance | 1900 N Austin Ave, Suite 210, Chicago, IL 60639-5010 | 2011-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293801 | Wh Il Dental Pllc | Dentist | 18086 N. Kilpatrick Ave., Chicago, IL 60639 | 2020-10-21 |
| 1568012375 | Ellen E Cox | Physical Therapist | 4369 W Diversey Ave, Chicago, IL 60639 | 2019-09-13 |
| 1306379268 | Michael Duarte | Family Medicine | 4417 W Diversey Ave, Chicago, IL 60639 | 2017-04-07 |
| 1013464593 | Ismile Dental | Dentist | 4953 West Fullerton Ave, Chicago, IL 60639 | 2016-09-01 |
| 1952773566 | Flor Cortes | Pharmacist | 4626 W Diversey, Chicago, IL 60639 | 2015-10-22 |
| 1205178654 | The Head Injury Center for Prevention and Community | Case Management | 1732 N. Narragansett Ave, Chicago, IL 60639 | 2013-03-25 |
| 1013299262 | Aamer Arboleda | Pharmacist | 1606 N. Mobile Ave., Chicago, IL 60639 | 2011-09-14 |
| 1295037927 | Mary Veronica Galiotto | Pharmacist | 2920 N Narragansett, Chicago, IL 60639 | 2010-12-01 |
| 1295067478 | Galileo Optical Co. | Eyewear Supplier (Equipment, not the service) | 5759 W. Fullerton, Chicago, IL 60639 | 2010-02-12 |
| 1831424548 | Sonrisa Family Dental At The Hall, P.C. | Dentist | 4608 A & B West Diversey Avenue, Chicago, IL 60639 | 2009-10-14 |
| Find all providers in zip 60639 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851866867 | Sonia Shankman Orthogenic School | Residential Treatment Facility, Emotionally Disturbed Children | Sonia Shankman Orthogenic School, 6245 South Ingleside Ave, Chicago, IL 60637-2621 | 2018-10-05 |
| 1891045241 | Association House of Chicago | Residential Treatment Facility, Emotionally Disturbed Children | 1900 North Sawyer Avenue, Chicago, IL 60651 | 2012-09-13 |
| 1992054498 | Eric Family Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4452 W Thomas St, Chicago, IL 60651-3406 | 2012-08-30 |
| 1386920221 | Ibukun Comprehensive Community Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 6752 S Perry Ave, Chicago, IL 60621-3714 | 2011-10-24 |
| 1487933495 | Uhlich Children's Advantage Network | Residential Treatment Facility, Emotionally Disturbed Children | 3730 N California Ave, Chicago, IL 60618-3604 | 2011-08-08 |
| 1184680175 | E.r.i.c. Family Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 6120 W North Ave, Ste 202, Chicago, IL 60639-3901 | 2006-04-26 |
| 1720351299 | Julie Jacobs | Residential Treatment Facility, Emotionally Disturbed Children | 7313 N Honore St, #2, Chicago, IL 60626-1794 | 2012-02-14 |
| 1174574016 | Jamal Place, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1335 S California Ave, Chicago, IL 60608-1611 | 2006-05-15 |
| 1235197583 | Lydia Home Association | Residential Treatment Facility, Emotionally Disturbed Children | 4300 W Irving Park Rd, Chicago, IL 60641-2825 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801363551 | Kemmerer Village Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 941 N. 2500 East Road, Assumption, IL 62510 | 2018-10-31 |
| 1538635198 | Center for Comprehensive Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 901 S Busse Rd, Mt Prospect, IL 60056-4006 | 2018-10-22 |
| 1982188637 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 109 North Poplar Street, Onarga, IL 60955 | 2018-09-19 |
| 1326532888 | Cunningham Children's Home of Urbana Il | Residential Treatment Facility, Emotionally Disturbed Children | 1303 N. Cunningham Avenue, Urbana, IL 61821 | 2018-06-19 |
| 1760924732 | The Center for Youth and Family Solutions | Residential Treatment Facility, Emotionally Disturbed Children | 260 E. Queenwood Rd., Cyfs Educational Building, Morton, IL 61550 | 2016-11-08 |
| 1881058329 | The Center for Youth and Family Solutions | Residential Treatment Facility, Emotionally Disturbed Children | 260 E Queenwood Rd, Morton, IL 61550-9726 | 2016-04-11 |
| 1942621768 | Arrowhead Ranch Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 12228 104th St, Coal Valley, IL 61240-9712 | 2013-12-20 |
| 1588004667 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 175 Evergreen, Manteno, IL 60950 | 2013-07-03 |
| 1649610841 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 325 Hemlock, Manteno, IL 60950 | 2013-07-02 |
| 1811337280 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 215 Hemlock, Manteno, IL 60950 | 2013-07-01 |
| 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.