UNIVERSAL HOMES LLC


Address: 12512 S Wallace St, Chicago, IL 60628-7130
Phone: 7735630991

UNIVERSAL HOMES LLC (NPI# 1992207724) 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) 1992207724
Entity Type Organization
Organization Name UNIVERSAL HOMES LLC
Practice Address 12512 S Wallace St
Chicago
IL 60628-7130
Mailing Address 3473 S King Dr Unit 133
Chicago
IL 60616-4108
Practice Telephone 7735630991
Mailing Telephone 7735630991
Enumeration Date 2018-03-07
Last Update Date 2018-03-07
Authorized Official Name MR. RUSSELL JAMES YOUNG JR. (EXECUTIVE DIRECTOR)
Authorized Official Telephone 7735630911
Authorized Official Credential RN
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 201700010C IL Residential Treatment Facilities

Other Provider IDs and Locations

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

Office Location

Street Address 12512 S WALLACE ST
City CHICAGO
State IL
Zip Code 60628-7130

Providers in the same zip code

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1750857942 Myrna Pledger Counselor 259 W. 104th Pl., Chicago, IL 60628 2018-10-16
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1922594613 Northwest Adult Wellness Center LLC Clinic/Center 235 W 95th Suite 3, Chicago, IL 60628 2018-07-05
1285152801 Brittany Bellamy Developmental Therapist 10333 S Prairie, Chicago, IL 60628 2017-09-04
1598293839 Denise Marie Mercherson Social Worker 9561 S. Union, Chicago, IL 60628 2017-05-31
1659821221 Tca Health Care Dentist 1030 E. 130th St, Chicago, IL 60628 2016-10-07
1528432697 Global Dialysis, LLC Registered Nurse 9746 South Harvard Ave., Chicago, IL 60628 2015-11-30
1871966382 Kirby Rehabilitation, Inc Clinic/Center 723 W. 111th St, Chicago, IL 60628 2015-11-05
1851638605 Marketa Marvanova Pharmacist 9501 S. King Drive, Douglas Hall 203-23, Chicago State University College of Pharmacy, Chicago, IL 60628 2013-01-14
1841567377 Emma Goodman Pharmacist 10620 S. Halsted St, Chicago, IL 60628 2011-11-29
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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
1336635135 Essential Lifestyles LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 7408 S Harvard Ave, Chicago, IL 60621-3424 2018-07-03
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
1730623786 A New Age Human Services Corp. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5328 W Parker Ave, Chicago, IL 60639-1521 2016-12-10
1831643121 Lajaed Corporation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8026 S Wood St, Chicago, IL 60620-4546 2016-08-04
1912353962 Access Community Experience, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4530 S Woodlawn Ave Unit 104, Chicago, IL 60653-4487 2016-05-09
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Competitor

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City CHICAGO
Zip Code 60628

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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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