institution
Ada S. Mckinley Community Services, Inc.
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Chicago, Illinois
NPI 1538411764

Ada S. Mckinley Community Services, Inc. is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Chicago, IL. Ada S. Mckinley Community Services, Inc. practices in Chicago, IL. The NPI Number for Ada S. Mckinley Community Services, Inc. is 1538411764 and holds a License No. (Illinois).

The current practice location address for Ada S. Mckinley Community Services, Inc. is 4237 S Indiana Ave, Chicago, IL and can be reached out via phone at 773-373-1044 and via fax at 773-373-2387.

Location: 4237 S Indiana Ave, Chicago, IL, 60607-1905
institution
Provider Profile Details
NPI Number
1538411764
Provider Name
Ada S. Mckinley Community Services, Inc.
Credential
Provider Entity Type
Organization
Address
4237 S Indiana Ave, Chicago, IL, 60607-1905
Phone Number
773-373-1044
Fax Number
773-373-2387
Provider Enumeration Date
10/11/2012
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0030585 01 IL IDPH LICENSE
institution
Provider Business Practice Location Address Details
Address
4237 S Indiana Ave
City
State
Zip
60653-3213
Phone Number
773-373-1044
Fax Number
773-373-2387
person
Provider Business Mailing Address Details
Address
4237 S Indiana Ave
City
State
Zip
60653-3213
Phone Number
773-373-1044
Fax Number
773-373-2387
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
(Illinois)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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