MYSI CORPORATION NPI 1801253299

NPI Information

NPI: 1801253299
Provider Name: MYSI CORPORATION
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
3001 W 111TH ST
SUITE 103
CHICAGO, IL
ZIP 60655
Phone: (773) 840-4600
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MYSI CORPORATION 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. MYSI CORPORATION NPI is 1801253299. The provider is registered as an organization entity type.

The provider's business location address is:

3001 W 111TH ST
SUITE 103
CHICAGO, IL
ZIP 60655-240
Phone: (773) 840-4600
Fax: (773) 840-4605

The provider's authorized official is Toleda Hart .
The authorized official title is President/ceo and has the following contact phone number (773) 840-4600.

The enumeration date for this NPI number is 1/15/2016 and was last updated on 1/15/2016.

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
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		201400011C	ILLINOIS	Yes

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

NPI Synchronization or Removal

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