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DEBORAH'S PLACE NPI 1538536735


NPI Information

NPI: 1538536735
Provider Name: DEBORAH'S PLACE
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
2822 W JACKSON BLVD
CHICAGO, IL
ZIP 60612
Phone: (773) 722-5080
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DEBORAH'S PLACE is a community behavioral health in Chicago, IL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. DEBORAH'S PLACE NPI is 1538536735. The provider is registered as an organization entity type.

The provider's business location address is:

2822 W JACKSON BLVD
CHICAGO, IL
ZIP 60612-653
Phone: (773) 722-5080
Fax: (773) 722-5081

The provider's authorized official is Katharine C Booton Wilson .
The authorized official title is Chief Strategy Officer and has the following contact phone number (773) 638-6392.

The enumeration date for this NPI number is 8/24/2015 and was last updated on 8/24/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251B00000XCase Management149.007559ILLINOISNo
2251B00000XCase Management149.011208ILLINOISNo
3251B00000XCase Management149.016615ILLINOISNo
4251B00000XCase Management149.015965ILLINOISNo
5251B00000XCase Management150.015350ILLINOISNo
6251S00000XCommunity/Behavioral Health149.011208ILLINOISNo
7251S00000XCommunity/Behavioral Health149.016615ILLINOISNo
8251S00000XCommunity/Behavioral Health149.015965ILLINOISNo
9251S00000XCommunity/Behavioral Health150.015350ILLINOISNo
10251S00000XCommunity/Behavioral Health149.007559ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.