SACRED HEART HOME NPI 1902994650

NPI Information

  • NPI: 1902994650
  • Provider Name: SACRED HEART HOME
  • Classification: Intermediate Care Facility, Mental Illness - 310500000X
  • Entity Type: Organization
  • Doing Business As: MADO HEALTHCARE - DOUGLAS PARK
  • CLIA Number: 14D0892412
  • Address: 1550 S ALBANY AVE
    CHICAGO, IL
    ZIP 60623
  • Phone: (773) 277-6868

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NPI Details

SACRED HEART HOME is an intermediate care facility mental illness in Chicago, IL. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. SACRED HEART HOME NPI is 1902994650. The provider is registered as an organization entity type.
The provider Is Doing Business As Mado Healthcare - Douglas Park.

The provider's business location address is:

1550 S ALBANY AVE
CHICAGO, IL
ZIP 60623-212
Phone: (773) 277-6868
Fax: (773) 277-5014

The provider's authorized official is Peter J O'brien .
The authorized official title is President and has the following contact phone number (312) 787-9400.

The CLIA number assigned to this NPI record is 14D0892412 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 4/15/2019.

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
1310500000XIntermediate Care Facility, Mental Illness0013334ILLINOISYes

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: 11/21/2025

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