Shaw Community Integration Services

LBN: Shaw Community Integration Services
Shaw Community Integration Services is an health care organization with primary practice located at 8119 S Vernon Ave , Chicago IL 60619-4913. The organization recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Adult, 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. Shaw Community Integration Services can be contacted via phone (773) 952-1965, or through Jefferson, Rhonda via phone (773) 952-1965.

Contact Information

Primary practice address
8119 S Vernon Ave Chicago IL 60619-4913
Phone: (773) 952-1965
Fax: (708) 810-9792
Website:
Map and Directions
Authorized official contact:
Name: Jefferson, Rhonda Registered Nurse (RN)
Phone: (773) 952-1965

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1710519046
LBN Legal business name Shaw Community Integration Services
DBA Doing business as
Authorized official Jefferson, Rhonda Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2020
Last updated Feb 5th, 2020 - about 4 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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