Organization · NPI-2

Ada S. Mckinley Community Services, INC.

Intermediate Care Facility, Intellectual Disabilities · Chicago, IL

NPI number1942553490
StatusActive
Last updated in NPPESMay 6, 2025

Details

NPI
1942553490
Entity type
Organization (NPI-2)
Legal business name
Ada S. Mckinley Community Services, INC.
Organization subpart
No
Enumeration date
Oct 22, 2012
Certification date
May 6, 2025
Last updated
May 6, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
315P00000X Intermediate Care Facility, Intellectual Disabilities––Yes
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities––

Other names

  • Hammond House (Doing Business As)

Practice location

6701 S Morgan St
Chicago, IL 60621-1201

Phone 773-994-0833 · Fax 773-994-8716

Mailing address

1359 W Washington Blvd
Chicago, IL 60607-1905

Phone 312-385-2000 · Fax 312-554-0292

Authorized official

Ken Fries
Dir Qa&C
3123852022

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