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ERIC FAMILY SERVICES INC. NPI 1992054498


NPI Information

NPI: 1992054498
Provider Name: ERIC FAMILY SERVICES, INC.

Other Name: ERIC GROUP HOME

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
4452 W THOMAS ST
CHICAGO, IL
ZIP 60651
Phone: (773) 384-9755
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ERIC FAMILY SERVICES, INC. is a residential treatment facility emotionally disturbed children in Chicago, IL. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. ERIC FAMILY SERVICES, INC. NPI is 1992054498. The provider is registered as an organization entity type.
The provider Other Name Is Eric Group Home.

The provider's business location address is:

4452 W THOMAS ST
CHICAGO, IL
ZIP 60651-406
Phone: (773) 384-9755

The provider's authorized official is Evanee Neville .
The authorized official title is Executive Director and has the following contact phone number (773) 745-3742.

The enumeration date for this NPI number is 8/30/2012 and was last updated on 8/30/2012.


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
1322D00000XResidential Treatment Facility, Emotionally Disturbed Children149015143ILLINOISYes

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: 11/14/2023

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