A NEW AGE HUMAN SERVICES CORP.; NPI #1730623786

Contact Information

A NEW AGE HUMAN SERVICES CORP.

5328 W PARKER AVE
CHICAGO, IL 60639-1521

Phone: 773-237-8793
Fax: 708-575-5903
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X

Indicates primary specialty

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NPI Profile & details for A NEW AGE HUMAN SERVICES CORP.

NPI # 1730623786

LBN Legal business name A NEW AGE HUMAN SERVICES CORP.

Authorized official CHARISSA MUNOZ-LIGO - (EXECUTIVE DIRECTOR/QIDP/RN)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/10/2016

Last updated 12/10/2016 - About 9 years ago

Identifiers

License #

201500008C

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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A NEW AGE HUMAN SERVICES CORP.

Contact Information

Specialty

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

NPI Profile & details for A NEW AGE HUMAN SERVICES CORP.

Reviews for A NEW AGE HUMAN SERVICES CORP.