Young Adult Program Hart House

LBN: The Thresholds
Young Adult Program Hart House is an health care organization with primary practice located at 3016 W Gunnison St , Chicago IL 60625-4302. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. The Thresholds can be contacted via phone (773) 572-5500, or through Klauer, Marcella via phone (773) 572-5480.

Contact Information

Primary practice address
3016 W Gunnison St Chicago IL 60625-4302
Phone: (773) 572-5500
Fax: (773) 572-5240
Website:
Map and Directions
Authorized official contact:
Name: Klauer, Marcella
Phone: (773) 572-5480

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1114684131
LBN Legal business name The Thresholds
DBA Doing business as Young Adult Program Hart House
Authorized official Klauer, Marcella
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 24th, 2021
Last updated Jul 14th, 2022 - about 3 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 1114684131 NPPES
Illinois MEDICAID 04133

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