MARYVILLE ACADEMY (NPI# 1578720041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578720041 |
| Entity Type | Organization |
| Organization Name | MARYVILLE ACADEMY |
| Practice Address |
4015 N Oak Park Ave Bldg B Chicago IL 60634-7197 |
| Mailing Address |
1150 N River Rd Des Plaines IL 60016-1214 |
| Practice Telephone | 7732053606 |
| Practice Fax Number | 7732053630 |
| Mailing Telephone | 8472941999 |
| Mailing Fax Number | 8472942892 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2012-01-24 |
| Authorized Official Name | MR. NORMAN JOYCE (CFO) |
| Authorized Official Telephone | 8472941844 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | IL | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366957292 | Maryville Academy | Clinic/Center | 1510 N Claremont Ave, Chicago, IL 60622-1710 | 2017-12-14 |
| 1487072781 | Maryville Academy | Clinic/Center | 1455 E Golf Rd Ste 210, Des Plaines, IL 60016-1254 | 2014-04-03 |
| 1508174749 | Maryville Academy | Community Based Residential Treatment Facility, Mental Illness | 1658 W Grand Ave, Chicago, IL 60622-6309 | 2010-09-22 |
| 1275771214 | Maryville Academy | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 951 W Bartlett Rd, Bartlett, IL 60103-4479 | 2009-01-29 |
| 1477700474 | Maryville Academy | Residential Treatment Facility, Emotionally Disturbed Children | 10102 Farm School Rd, Durand, IL 61024-9725 | 2008-08-20 |
| 1578697835 | Maryville Academy | Community/Behavioral Health | 1150 N River Rd, Des Plaines, IL 60016-1214 | 2007-03-16 |
| 1306873419 | Maryville Academy | Psychiatric Residential Treatment Facility | 555 Wilson Lane, Maryville Scott Nolan Center, Des Plaines, IL 60016-4729 | 2006-06-26 |
| 1821504788 | Maryville Academy | Clinic/Center | 1510 N Claremont Ave, Chicago, IL 60622-1710 | 2017-12-14 |
| 1487189445 | Maryville Academy | Clinic/Center | 951 W Bartlett Rd, Bartlett, IL 60103-4479 | 2017-04-27 |
| 1003341058 | Maryville Academy | Clinic/Center | 1658 W Grand Ave, Chicago, IL 60622-6309 | 2017-04-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MARYVILLE ACADEMY | 1150 N River Rd, Des Plaines, IL 60016-1214 |
| Street Address |
4015 N OAK PARK AVE BLDG B |
| City | CHICAGO |
| State | IL |
| Zip Code | 60634-7197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356987333 | Alejandra Carrera | Student in an Organized Health Care Education/Training Program | 6417 W Irving Park Rd., Chicago, IL 60634 | 2019-11-25 |
| 1861977456 | Virtue Counseling Center | Counselor | 2904 N Parkside, Chicago, IL 60634 | 2018-09-28 |
| 1770931255 | Dynamic Transport Solutions LLC | Non-emergency Medical Transport (VAN) | 6109 W. Barry, Chicago, IL 60634 | 2016-05-25 |
| 1104284710 | Ez Dental | Dental Laboratory | 5621 W.montrose Avenue, Chicago, IL 60634 | 2016-02-10 |
| 1285075432 | Chicago Medical Transportation | Non-emergency Medical Transport (VAN) | 3033 N. Nordica Ave., Chicago, IL 60634 | 2013-07-16 |
| 1083985725 | Maria C. Rodriguez | Lactation Consultant, Non-RN | 6216 W. School St., Chicago, IL 60634 | 2012-01-25 |
| 1295066827 | Angie Harris | Occupational Therapist | 3339 N. Octavia, Chicago, IL 60634 | 2010-01-21 |
| 1205169802 | Belmont Dental P.C. | Dentist | 5611 W. Belmont Ave., Chicago, IL 60634 | 2009-09-14 |
| 1568605178 | Henry Biskup | Radiologic Technologist | 3105 N. Austin Ave., Chicago, IL 60634 | 2009-04-13 |
| 1306086624 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 3615 N. Central Ave, Chicago, IL 60634 | 2009-02-26 |
| Find all providers in zip 60634 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861664013 | Pioneer Gardens Senior Housing Lp | Long Term Care Hospital | 3800 S King Dr, Chicago, IL 60653-1785 | 2008-03-27 |
| 1578648028 | Kindred Thc Chicago, LLC | Long Term Care Hospital | 4058 W Melrose St, Chicago, IL 60641 | 2006-10-25 |
| 1821604125 | Kindred Chicago Northlake, LLC | Long Term Care Hospital | 2544 W Montrose Ave, Chicago, IL 60618-1537 | 2020-09-22 |
| 1700492014 | Kindred Thc North Shore, LLC | Long Term Care Hospital | 4058 W Melrose St, Chicago, IL 60641-4799 | 2020-09-22 |
| 1144777285 | Rush University Medical Centre | Long Term Care Hospital | 1653 W Congress Parkway, Jelke Buidling Suite 181, Chicago, IL 60612-3833 | 2016-09-07 |
| 1730589946 | Presence St Joseph Hospital | Long Term Care Hospital | 2900 N Lake Shore Dr, Suite 203, Medical Education Building, Chicago, IL 60657-5640 | 2014-08-26 |
| 1548609514 | We | Long Term Care Hospital | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2013-06-22 |
| 1467618660 | Rush University | Long Term Care Hospital | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2008-08-06 |
| 1275704124 | Mcgaw Medical Center | Long Term Care Hospital | 675 N Saint Clair St, Suite 18-200, Chicago, IL 60611-5975 | 2008-03-19 |
| 1528143088 | Kindred Thc North Shore, LLC | Long Term Care Hospital | 6130 N Sheridan Rd, Chicago, IL 60660 | 2006-10-25 |
| 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.