GOLDBLATTS OF CHICAGO LIMITED PARTNERSHIP NPI 1760851364

NPI Information

GOLDBLATTS OF CHICAGO LIMITED PARTNERSHIP 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. GOLDBLATTS OF CHICAGO LIMITED PARTNERSHIP NPI is 1760851364. The provider is registered as an organization entity type.
The provider Is Doing Business As New City Supportive Living.

The provider's business location address is:

4707 S MARSHFIELD AVE
CHICAGO, IL
ZIP 60609-159
Phone: (773) 376-1223
Fax: (773) 376-1226

The provider's authorized official is Deona Lewis Thomas .
The authorized official title is President Of Management Agent and has the following contact phone number (773) 952-8004.

The CLIA number assigned to this NPI record is 14D2260455 - other - supportive living with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/24/2015 and was last updated on 8/28/2020.

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:

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