Association House Of Chicago

LBN: Association House Of Chicago
Association House Of Chicago is an health care organization with primary practice located at 2849 W Walton St , Chicago IL 60622-4448. The organization recently has 5 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health, Managed Care Organizations / Health Maintenance Organization, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Association House Of Chicago can be contacted via phone (773) 435-3205, or through Sadauskas, Harriet via phone (773) 772-8009.

Contact Information

Primary practice address
2849 W Walton St Chicago IL 60622-4448
Phone: (773) 435-3205
Fax: (773) 395-7340
Website:
Map and Directions
Authorized official contact:
Name: Sadauskas, Harriet
Phone: (773) 772-8009

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X Illinois
Agencies / Community/Behavioral Health 251S00000X Illinois
Managed Care Organizations / Health Maintenance Organization 302R00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X Illinois

Profile Details

NPI number 1851741888
LBN Legal business name Association House Of Chicago
DBA Doing business as
Authorized official Sadauskas, Harriet
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2016
Last updated Jun 21st, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851741888 NPPES
Illinois Other IL5335 MEDICARE PTAN
Illinois MEDICAID 102 MEDICARE PTAN

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