VICTOR C NEUMANN ASSOCIATION


Address: 2904 N Moody Ave, Chicago, IL 60634-5026
Phone: 7738041880

VICTOR C NEUMANN ASSOCIATION (NPI# 1083822373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083822373
Entity Type Organization
Organization Name VICTOR C NEUMANN ASSOCIATION
Practice Address 2904 N Moody Ave
Chicago
IL 60634-5026
Mailing Address 5547 N Ravenswood Ave
Chicago
IL 60640-1125
Practice Telephone 7738041880
Mailing Telephone 7737694313
Enumeration Date 2007-05-18
Last Update Date 2016-01-04
Authorized Official Name DR. PAUL SELDEN (CEO)
Authorized Official Telephone 7737694313
Authorized Official Credential PH.D.
Is Organization Subpart Y
Parent Organization Name VICTOR C NEUMANN ASSOCIATION

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251B00000X Case Management Agencies
N 320800000X Community Based Residential Treatment Facility, Mental Illness 199100067C IL Residential Treatment Facilities
Y 251S00000X Community/Behavioral Health Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1194212399 Victor C Neumann Association Day Training, Developmentally Disabled Services 4122 N Nashville Ave, Chicago, IL 60634-1429 2018-04-13
1770934838 Victor C Neumann Association Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5547 N Ravenswood Ave, 1st Floor, Chicago, IL 60640-1125 2016-06-29

Office Location

Street Address 2904 N MOODY AVE
City CHICAGO
State IL
Zip Code 60634-5026

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

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Competitor

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City CHICAGO
Zip Code 60634

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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