- Practice location
- 9135 South Brandon, Chicago, IL 60617-4420
- Phone
- 773-731-4033
- Fax
- 773-731-2376
- Last updated
- May 6, 2025
Ada S. Mckinley Community Services, INC. is a healthcare organization 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 1871845008 and holds a License No. 0005 (IL). The current practice location address for Ada S. Mckinley Community Services, INC. is 9135 South Brandon, Chicago, IL 60617-4420 and can be reached out via phone at 773-731-4033 and via fax at 773-731-2376.
Provider Profile Details
- NPI Number
- 1871845008
- Provider Name
- Ada S. Mckinley Community Services, INC.
- Provider Entity Type
- Organization
- Address
- 9135 South Brandon, Chicago, IL 60617-4420
- Phone Number
- 773-731-4033
- Fax Number
- 773-731-2376
- Primary Taxonomy
- Intermediate Care Facility, Intellectual Disabilities · 315P00000X
- Organization Subpart
- No
- Authorized Official
- Ken Fries · Dir Qa&c · 312-385-2022
- Other Names
- Moore House (Doing Business As)
- Provider Enumeration Date
- October 11, 2012
- Last Update Date
- May 6, 2025
- Certification Date
- May 6, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 9135 South Brandon
Chicago, IL 60617-4420 - City
- Chicago
- State
- Illinois
- Zip
- 60617-4420
- Phone Number
- 773-731-4033
- Fax Number
- 773-731-2376
Provider Business Mailing Address Details
- Address
- 1359 W Washington Blvd
Chicago, IL 60607-1905 - City
- Chicago
- State
- IL
- Zip
- 60607-1905
- Phone Number
- 312-385-2000
- Fax Number
- 312-554-0292
License Information
- License Number (1)
- 0005
- License State (1)
- IL
- Taxonomy (1)
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320600000X
- Taxonomy (2)
- Intermediate Care Facility, Intellectual Disabilities · 315P00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ada S. Mckinley Community Services, INC.?
The NPI number of Ada S. Mckinley Community Services, INC. is 1871845008. It was assigned on October 11, 2012 and is currently active in the NPPES registry.
What is the specialty of Ada S. Mckinley Community Services, INC.?
Ada S. Mckinley Community Services, INC. is registered under the primary taxonomy Intermediate Care Facility, Intellectual Disabilities (code 315P00000X), licensed in IL under license number 0005.
Where does Ada S. Mckinley Community Services, INC. practice?
The practice location is 9135 South Brandon, Chicago, IL 60617-4420. The office can be reached at 773-731-4033 (phone) or 773-731-2376 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1871845008 directly on the NPPES registry website.