SACRED HEART HOME (NPI# 1902994650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902994650 |
| Entity Type | Organization |
| Organization Name | SACRED HEART HOME |
| Other Organization Name | MADO HEALTHCARE - DOUGLAS PARK |
| Practice Address |
1550 S Albany Ave Chicago IL 60623-2212 |
| Mailing Address |
405 N Wabash Ave Ste P2w Chicago IL 60611-3541 |
| Practice Telephone | 7732776868 |
| Practice Fax Number | 7732775014 |
| Mailing Telephone | 3127879400 |
| Mailing Fax Number | 3127879434 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2019-04-15 |
| Authorized Official Name | MR. PETER J O'BRIEN (PRESIDENT) |
| Authorized Official Telephone | 3127879400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310500000X | Intermediate Care Facility, Mental Illness | 0013334 | IL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| MADO HEALTHCARE - DOUGLAS PARK | Doing Business As Name - Organization |
| Sacred Heart Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538159595 | Sacred Heart Home | Nursing Facility/Intermediate Care Facility | 5805 Queens Chapel Rd, Hyattsville, MD 20782-3898 | 2005-10-21 |
| 1174518971 | Sacred Heart Home | Skilled Nursing Facility | 359 Summer St, New Bedford, MA 02740-5519 | 2005-09-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SACRED HEART HOME HEALTH CARE | 1200 12th St Sw, Austin, MN 55912-2619 |
| System for Award Management (SAM) Entities | SACRED HEART HOME HEALTH, INC. | 2720 S River Rd Ste 144, Des Plaines, IL 60018-4106 |
| System for Award Management (SAM) Entities | SACRED HEART HOME HEALTHCARE LLC | 2737 E Greenway Rd Ste 6, Phoenix, AZ 85032-4391 |
| Colorado Business Entities | Sacred Heart Homes LLC | 1716 N. Main St., Unit A155, Longmont, CO 80501 |
| Street Address |
1550 S ALBANY AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60623-2212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154890721 | Lutheran Social Services of Illinois | Clinic/Center | 1550 S Albany Ave, Chicago, IL 60623-2212 | 2018-11-13 |
| 1609181106 | Bethany Homes and Methodist Hospital | Clinic/Center | 1550 S Albany Ave, Chicago, IL 60623-2212 | 2010-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629697917 | East Oaks Dialysis LLC | Clinic/Center | 2950 W 26th St, Chicago, IL 60623 | 2020-04-16 |
| 1922543917 | Montclare Senior Residences Slf of Lawndale LLC | Assisted Living Facility | 4339 West 18th Place, Chicago, IL 60623 | 2016-12-29 |
| 1679024376 | Athletico Ltd. | Physical Therapist | 2632 W. Pershing Rd., Chicago, IL 60623 | 2016-10-18 |
| 1245691211 | L A Jones Hair Restoration Center | Prosthetic/Orthotic Supplier | 1657 S. Troy, Chicago, IL 60623 | 2016-03-17 |
| 1982019204 | Sonrisa Dental Little Village 26th | Clinic/Center | 3059 S 26th St, Chicago, IL 60623 | 2014-06-25 |
| 1992055487 | Margaret C Johnson | Nurse Practitioner | 3860 W. Ogden Ave, Chicago, IL 60623 | 2012-09-12 |
| 1477851319 | Elizabeth Bauer | Physician Assistant | 3256 W 24th St, Chicago, IL 60623 | 2011-03-01 |
| 1023328390 | Rebecca Franco | Advanced Practice Midwife | 2875 W. 19th St, Chicago, IL 60623 | 2010-10-20 |
| 1447580899 | Candace Nicole Hutchen | Pharmacist | 3434 West 13th Place, Chicago, IL 60623 | 2010-01-07 |
| 1689801680 | Braceman P&o Inc. | Prosthetic/Orthotic Supplier | 2830 W. Cermak Rd., Chicago, IL 60623 | 2009-06-17 |
| Find all providers in zip 60623 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154447753 | Rainbow Beach Qoc, LLC | Intermediate Care Facility, Mental Illness | 7325 S Exchange Ave, Chicago, IL 60649-3407 | 2007-03-22 |
| 1932224243 | Grasmere Place, LLC | Intermediate Care Facility, Mental Illness | 4621 N Sheridan Rd, Chicago, IL 60640-5019 | 2007-03-20 |
| 1528149382 | Belmont Nursing Home, Inc. | Intermediate Care Facility, Mental Illness | 1936 W Belmont Ave, Chicago, IL 60657-2025 | 2006-10-18 |
| 1497783872 | Clayton Residential Homes Inc | Intermediate Care Facility, Mental Illness | 2026 N Clark St, Chicago, IL 60614-4764 | 2006-06-28 |
| 1164450532 | B&d Hotel Corporation | Intermediate Care Facility, Mental Illness | 321 N Central Ave, Chicago, IL 60644-2227 | 2006-06-28 |
| 1912998188 | Nine Forty Cullom Corporation | Intermediate Care Facility, Mental Illness | 940 W Cullom Ave, Chicago, IL 60613 | 2005-11-04 |
| 1417942384 | Margaret Manor Inc. | Intermediate Care Facility, Mental Illness | 1121 N Orleans St, Chicago, IL 60610 | 2005-09-15 |
| 1962407361 | Wilson Care, Inc. | Intermediate Care Facility, Mental Illness | 4544 N Hazel St, Chicago, IL 60640-5716 | 2005-06-14 |
| 1891790242 | Bryn Mawr Care, Inc. | Intermediate Care Facility, Mental Illness | 5547 N Kenmore Ave, Chicago, IL 60640-1515 | 2005-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376088146 | Inspire Senior Care, LLC | Intermediate Care Facility, Mental Illness | 401 Burke Dr, Joliet, IL 60433-2113 | 2017-01-03 |
| 1407024284 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 639 Hawthorne Ct, Galesburg, IL 61401-1200 | 2008-02-14 |
| 1003004565 | Skokie Meadows Nursing Centers II,llc | Intermediate Care Facility, Mental Illness | 4600 Golf Rd, Skokie, IL 60076-1210 | 2007-10-10 |
| 1508088410 | Lydia Healthcare | Intermediate Care Facility, Mental Illness | 13901 S Lydia Ave, Robbins, IL 60472-2215 | 2007-05-02 |
| 1154545879 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 1089 Hawkinson Ave, Galesburg, IL 61401-6900 | 2007-04-12 |
| 1023231537 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 1023 Dewey Ave, Kewanee, IL 61443-3205 | 2007-04-11 |
| 1609099118 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 501 N Grove St, Kewanee, IL 61443-2078 | 2007-04-11 |
| 1194948695 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 1974 Windish Dr, Galesburg, IL 61401-6800 | 2007-04-11 |
| 1790908200 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 1084 Lawrence Ave, Galesburg, IL 61401-2482 | 2007-04-11 |
| 1407079916 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 1191 Jefferson St, Galesburg, IL 61401-2617 | 2007-04-11 |
| 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.