NPI Information

  • NPI: 1003002650
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 2626 W 63RD ST
    ZIP 60629
  • Phone: (773) 471-4444
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NPI Details

CHURCHVIEW SUPPORTIVE LIVING COMMUNITY is an assisted living facility in Chicago, IL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. CHURCHVIEW SUPPORTIVE LIVING COMMUNITY NPI is 1003002650. The provider is registered as an organization entity type.

The provider's business location address is:

2626 W 63RD ST
ZIP 60629-655
Phone: (773) 471-4444
Fax: (773) 471-3935

The provider's authorized official is Laura Kelly .
The authorized official title is Administrator and has the following contact phone number (773) 471-4444.

The enumeration date for this NPI number is 9/18/2007 and was last updated on 7/21/2022.

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
1310400000XAssisted Living Facility0001ILLINOISYes

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: 6/30/2024

NPI Synchronization or Removal

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