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THE THRESHOLDS NPI 1205329554


NPI Information

NPI: 1205329554
Provider Name: THE THRESHOLDS

Doing Business As: YOUNG ADULT PROGRAM JAMES HOUSE

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
4448 N KIMBALL AVE
CHICAGO, IL
ZIP 60625
Phone: (773) 572-5500
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THE THRESHOLDS is a community based residential treatment facility mental illness in Chicago, IL. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. THE THRESHOLDS NPI is 1205329554. The provider is registered as an organization entity type.
The provider Is Doing Business As Young Adult Program James House.

The provider's business location address is:

4448 N KIMBALL AVE
CHICAGO, IL
ZIP 60625-416
Phone: (773) 572-5500

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

The enumeration date for this NPI number is 6/12/2018 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 ChildrenNo
2251S00000XCommunity/Behavioral HealthNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
4320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

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: 5/5/2024

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