Misericordia Home
Intermediate Care Facility, Intellectual Disabilities in Chicago, IL. Organization (NPI-2).
Details
- NPI
- 1477580264
- Entity type
- Organization (NPI-2)
- Legal business name
- Misericordia Home
- Organization subpart
- No
- Enumeration date
- Jun 27, 2006
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | 0033662 | IL | Yes |
Practice location
6300 N Ridge AveChicago, IL 60660-1017
Phone 773-973-6300
Mailing address
6300 N Ridge AveChicago, IL 60660-1017
Phone 773-973-6300
Authorized official
Mary Pat O'Brien
Administrator
7732734169
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 48 Intellectual Disabilities Intermediate Care Facility providers in Chicago · All 81,422 providers in Chicago
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