THE THRESHOLDS NPI 1114684131

NPI Information

  • NPI: 1114684131
  • Provider Name: THE THRESHOLDS
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Organization
  • Doing Business As: YOUNG ADULT PROGRAM HART HOUSE
  • Address: 3016 W GUNNISON ST
    CHICAGO, IL
    ZIP 60625
  • Phone: (773) 572-5500

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NPI Details

THE THRESHOLDS 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. THE THRESHOLDS NPI is 1114684131. The provider is registered as an organization entity type.
The provider Is Doing Business As Young Adult Program Hart House.

The provider's business location address is:

3016 W GUNNISON ST
CHICAGO, IL
ZIP 60625-302
Phone: (773) 572-5500
Fax: (773) 572-5240

The provider's authorized official is Marcella Klauer .
The authorized official title is Executive Assistant, Quality Team and has the following contact phone number (773) 572-5480.

The enumeration date for this NPI number is 11/24/2021 and was last updated on 7/14/2022.

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
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenYes

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
104133MEDICAIDILLINOIS

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: 3/30/2025

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