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MIDWEST CARE INC. NPI 1932652419


NPI Information

NPI: 1932652419
Provider Name: MIDWEST CARE, INC.

Doing Business As: KIN CARE, INC.

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
4113 N LINCOLN AVE
CHICAGO, IL
ZIP 60618
Phone: (773) 975-7777
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MIDWEST CARE, INC. 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. MIDWEST CARE, INC. NPI is 1932652419. The provider is registered as an organization entity type.
The provider Is Doing Business As Kin Care, Inc..

The provider's business location address is:

4113 N LINCOLN AVE
CHICAGO, IL
ZIP 60618-025
Phone: (773) 975-7777
Fax: (773) 975-6098

The provider's authorized official is Joan Brodgon .
The authorized official title is Ceo and has the following contact phone number (773) 975-7777.

The enumeration date for this NPI number is 8/1/2016 and was last updated on 8/1/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities199500236CILLINOISYes

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

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