YSL CARE INC NPI 1639348691

NPI Information

NPI: 1639348691
Provider Name: YSL CARE, INC

Doing Business As: COLUMBUS MANOR RESIDENTIAL CARE HOME

Classification: Intermediate Care Facility, Mental Illness - 310500000X
Entity Type: Organization

Address:
5107-21 WEST JACKSON BLVD
CHICAGO, IL
ZIP 60644
Phone: (773) 378-5490
Get Directions

YSL CARE, INC is an intermediate care facility mental illness in Chicago, IL. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. YSL CARE, INC NPI is 1639348691. The provider is registered as an organization entity type.
The provider Is Doing Business As Columbus Manor Residential Care Home.

The provider's business location address is:

5107-21 WEST JACKSON BLVD
CHICAGO, IL
ZIP 60644
Phone: (773) 378-5490
Fax: (773) 378-7860

The provider's authorized official is Afzal Lokhandwala .
The authorized official title is President and has the following contact phone number (630) 664-6048.

The CLIA number assigned to this NPI record is 14D0427689 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/25/2008 and was last updated on 10/6/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness		0007781	ILLINOIS	No
2	310500000X	Intermediate Care Facility, Mental Illness				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	14E147	MEDICARE OSCAR/CERTIFICATION	ILLINOIS
2	362673116001	MEDICAID	ILLINOIS

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »