HABILITATIVE SYSTEMS, INC. (NPI# 1568690261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568690261 |
| Entity Type | Organization |
| Organization Name | HABILITATIVE SYSTEMS, INC. |
| Practice Address |
4133 W Madison St Chicago IL 60624 |
| Mailing Address |
415 S Kilpatrick Ave Chicago IL 60644-4923 |
| Practice Telephone | 7737452610 |
| Practice Fax Number | 7738548300 |
| Mailing Telephone | 7732612252 |
| Mailing Fax Number | 7738548300 |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2018-08-07 |
| Authorized Official Name | DONALD J. DEW (PRESIDENT/CEO) |
| Authorized Official Telephone | 7738541830 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | 04065 | IL | Agencies |
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851806269 | Habilitative Systems, Inc. | Case Management | 4732 W Ohio St, Chicago, IL 60644 | 2017-12-07 |
| 1124438742 | Habilitative Systems, Inc. | Case Management | 6845 S Western Ave, Chicago, IL 60636 | 2014-05-05 |
| 1104054865 | Habilitative Systems, Inc. | Case Management | 1018 N Menard Ave, Chicago, IL 60651-2664 | 2009-07-01 |
| 1841428547 | Habilitative Systems, Inc. | Case Management | 4234 W Potomac Ave, Chicago, IL 60651 | 2009-07-01 |
| 1073068409 | Habilitative Systems, Inc. | Day Training, Developmentally Disabled Services | 415 S Kilpatrick Ave, Chicago, IL 60644-4923 | 2016-08-15 |
| 1760610463 | Habilitative Systems, Inc. | Case Management | 415 S Kilpatrick Ave, Chicago, IL 60644-4923 | 2009-07-01 |
| 1841434164 | Habilitative Systems, Inc. | Case Management | 415 S Kilpatrick Ave, Chicago, IL 60644 | 2009-04-30 |
| 1932343340 | Habilitative Systems, Inc. | Case Management | 415 S Kilpatrick Ave, Chicago, IL 60644-4923 | 2009-04-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HABILITATIVE SYSTEMS, INC. | 415 S Kilpatrick Ave, Chicago, IL 60644-4923 |
| Street Address |
4133 W MADISON ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104004621 | Bobby E Wright Comprehensive Behavioral Health Center Inc. | Clinic/Center | 4133 W Madison St, Chicago, IL 60624-2304 | 2008-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071932 | Euginia Ivanova | Counselor | 3410 W. Roosevelt Rd, Chicago, IL 60624 | 2020-10-19 |
| 1629619572 | Denise R Bean | Technician | 3322 West Polk St, Chicago, IL 60624 | 2019-10-02 |
| 1033693742 | Ahmed Hussain Memon | Nurse Practitioner | 3800 West Madison, Chicago, IL 60624 | 2018-09-18 |
| 1487104006 | Jeffrey Blythe | Social Worker | 3605 W. Fillmore Street, Ucan, Chicago, IL 60624 | 2016-10-06 |
| 1366992216 | Brian Macwilliams | Social Worker | 3605 W. Fillmore St, Chicago, IL 60624 | 2016-10-04 |
| 1982151510 | Darryl Lamont Clayton | Counselor | 3605 W. Fillmore, Chicago, IL 60624 | 2016-09-01 |
| 1821487646 | Total Enrichment Services Inc. | Counselor | 3335 W Washington Blvd, Chicago, IL 60624 | 2015-01-16 |
| 1295038818 | Raad N Rashan M D S C | Internal Medicine | 3743 W Chicago Ave, Chicago, IL 60624 | 2010-12-21 |
| 1194044453 | Theresa Roberts | Speech-Language Pathologist | 3240 W. Franklin Blvd, Chicago, IL 60624 | 2010-05-26 |
| 1154570208 | Ht Outpatient Pharmacy | Pharmacy | 3435 W Vanburen St, Chicago, IL 60624 | 2008-09-13 |
| Find all providers in zip 60624 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1144827320 | Envision Unlimited | Clinic/Center | 4919 N Clark St, Chicago, IL 60640-3514 | 2020-10-01 |
| 1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
| 1144837055 | Totality. Therapies LLC | Clinic/Center | 2027 W Division St Ste 157, Chicago, IL 60622-9024 | 2020-09-24 |
| 1790391373 | Luminary Solutions, LLC | Clinic/Center | 3166 N Lincoln Ave Ste 305, Chicago, IL 60657-3119 | 2020-09-19 |
| 1114533924 | A Safe Haven, L.L.C. | Clinic/Center | 600 S Wabash Ave, Chicago, IL 60605-1808 | 2020-09-17 |
| 1235745142 | A Safe Haven, L.L.C. | Clinic/Center | 7355 N Damen Ave, Chicago, IL 60645-2311 | 2020-09-17 |
| 1386250199 | A Safe Haven, L.L.C. | Clinic/Center | 7342-46 S Kingston, Chicago, IL 60649 | 2020-09-17 |
| Find all providers in CHICAGO | ||||
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| 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.