MISERICORDIA HOME NPI 1891723250

NPI Information

NPI: 1891723250
Provider Name: MISERICORDIA HOME
Classification: Skilled Nursing Facility - 3140N1450X
Entity Type: Organization

Specialization: Nursing Care, Pediatric

Address:
6300 N RIDGE AVE
CHICAGO, IL
ZIP 60660
Phone: (773) 973-6300
Get Directions

MISERICORDIA HOME is a nursing care and pediatric skilled nursing facility in Chicago, IL. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. MISERICORDIA HOME NPI is 1891723250. The provider is registered as an organization entity type.

The provider's business location address is:

6300 N RIDGE AVE
CHICAGO, IL
ZIP 60660-017
Phone: (773) 973-6300

The provider's authorized official is Denise Tigges .
The authorized official title is Administrator and has the following contact phone number (773) 273-3544.

The enumeration date for this NPI number is 6/28/2006 and was last updated on 3/23/2016.

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	3140N1450X	Skilled Nursing Facility	Nursing Care, Pediatric	0045906	ILLINOIS	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	=========-014	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

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