institution
Ada S. Mckinley Community Services, Inc.
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Chicago, Illinois
NPI 1841543394

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 1841543394 and holds a License No. (Illinois).

The current practice location address for Ada S. Mckinley Community Services, Inc. is 4540 S Michigan Ave, Chicago, IL and can be reached out via phone at 773-373-1073 and via fax at 773-373-1867. You can also correspond with Ada S. Mckinley Community Services, Inc. through the mailing address at 1359 W WASHINGTON BLVD, CHICAGO, IL - 60607-1905 (mailing address contact number: 312-385-2000).

Location: 4540 S Michigan Ave, Chicago, IL, 60607-1905
institution
Provider Profile Details
NPI Number
1841543394
Provider Name
Ada S. Mckinley Community Services, Inc.
Credential
Provider Entity Type
Organization
Address
4540 S Michigan Ave, Chicago, IL, 60607-1905
Phone Number
773-373-1073
Fax Number
773-373-1867
Provider Enumeration Date
10/22/2012
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0030577 01 IL IDPH LICENSE
institution
Provider Business Practice Location Address Details
Address
4540 S Michigan Ave
City
State
Zip
60653-3809
Phone Number
773-373-1073
Fax Number
773-373-1867
person
Provider Business Mailing Address Details
Address
1359 W Washington Blvd
City
State
Zip
60607-1905
Phone Number
312-385-2000
Fax Number
312-554-0292
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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