Davis House

LBN: Ada S. Mckinley Community Services, Inc.
Davis House is an health care organization with primary practice located at 4237 S Indiana Ave , Chicago IL 60653-3213. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded is the primary health care specialty. Ada S. Mckinley Community Services, Inc. can be contacted via phone (773) 373-1044, or through Ree, Donna via phone (312) 385-2031.

Contact Information

Primary practice address
4237 S Indiana Ave Chicago IL 60653-3213
Phone: (773) 373-1044
Fax: (773) 373-2387
Website:
Map and Directions
Authorized official contact:
Name: Ree, Donna MS
Phone: (312) 385-2031

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X Illinois

Profile Details

NPI number 1538411764
LBN Legal business name Ada S. Mckinley Community Services, Inc.
DBA Doing business as Davis House
Authorized official Ree, Donna MS
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2012
Last updated Oct 26th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538411764 NPPES
Illinois Other 0030585 IDPH LICENSE

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