National Provider Identifier Database

ASSOCIATION HOUSE OF CHICAGO
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities

Contact Information

ASSOCIATION HOUSE OF CHICAGO
2849 W WALTON ST
CHICAGO, IL  60622-4448
Phone: 773-435-3205
Fax: 773-395-7340
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X
Case Management 251B00000X
Community/Behavioral Health 251S00000X
Day Training, Developmentally Disabled Services 251C00000X
Health Maintenance Organization 302R00000X

* Indicates primary specialty

NPI Profile & details for ASSOCIATION HOUSE OF CHICAGO

NPI Number 1851741888
Legal business name
LBN		 ASSOCIATION HOUSE OF CHICAGO
Authorized official HARRIET SADAUSKAS - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 06/21/2016
Last updated 06/21/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • IL Medicaid: 102
  • IL Other: IL5335 MEDICARE PTAN

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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