Provider Type Icon

UNIVERSAL HOMES LLC NPI 1770116287


NPI Information

NPI: 1770116287
Provider Name: UNIVERSAL HOMES LLC

Former Legal Business Name: UNIVERSAL HOMES

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
12101 S LA SALLE ST
CHICAGO, IL
ZIP 60628
Phone: (773) 981-7171
Get Directions

UNIVERSAL HOMES LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Chicago, IL. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. UNIVERSAL HOMES LLC NPI is 1770116287. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Universal Homes.

The provider's business location address is:

12101 S LA SALLE ST
CHICAGO, IL
ZIP 60628-618
Phone: (773) 981-7171
Fax: (773) 337-0635

The provider's authorized official is Joanne Young .
The authorized official title is Executive Director and has the following contact phone number (773) 981-7171.

The enumeration date for this NPI number is 2/13/2020 and was last updated on 1/4/2021.


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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1201800004CMEDICAIDILLINOIS

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.