ACCESS COMMUNITY EXPERIENCE, INC.; NPI #1912353962

Contact Information

ACCESS COMMUNITY EXPERIENCE, INC.

4530 S WOODLAWN AVE UNIT 104
CHICAGO, IL 60653-4487

Phone: 708-271-3463
Fax: 773-966-5437
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 ACCESS COMMUNITY EXPERIENCE, INC.

NPI # 1912353962

LBN Legal business name ACCESS COMMUNITY EXPERIENCE, INC.

Authorized official MELAKU TADESSE - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/09/2016

Last updated 05/09/2016 - About 10 years ago

Identifiers

License #

201500011C

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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ACCESS COMMUNITY EXPERIENCE, INC.

Contact Information

Specialty

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

NPI Profile & details for ACCESS COMMUNITY EXPERIENCE, INC.

Reviews for ACCESS COMMUNITY EXPERIENCE, INC.