YSL CARE, INC


Address: 5107-21 West Jackson Blvd, Chicago, IL 60644
Phone: 7733785490

YSL CARE, INC (NPI# 1639348691) 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) 1639348691
Entity Type Organization
Organization Name YSL CARE, INC
Other Organization Name COLUMBUS MANOR RESIDENTIAL CARE HOME
Practice Address 5107-21 West Jackson Blvd
Chicago
IL 60644
Practice Telephone 7733785490
Practice Fax Number 7733787860
Mailing Telephone 7733785490
Mailing Fax Number 7733787860
Enumeration Date 2008-02-25
Last Update Date 2016-10-06
Authorized Official Name MR. AFZAL LOKHANDWALA (PRESIDENT)
Authorized Official Telephone 6306646048
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 320800000X Community Based Residential Treatment Facility, Mental Illness 0007781 IL Residential Treatment Facilities
Y 310500000X Intermediate Care Facility, Mental Illness Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IL 362673116001 05

Other Provider/Organization Names

Other Name Type Code
Columbus Manor Residential Care Home Doing Business As Name - Organization

Office Location

Street Address 5107-21 WEST JACKSON BLVD
City CHICAGO
State IL
Zip Code 60644

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710535638 Marta Yvonne Palmer Technician 5008 W Adams, Chicago, IL 60644 2019-09-04
1861056848 B U I L D Incorporated Social Worker 5100 W Harrison St., Chicago, IL 60644 2019-04-25
1851806269 Habilitative Systems, Inc. Case Management 4732 W Ohio St, Chicago, IL 60644 2017-12-07
1336408665 Meghan Nancy Daw Dietitian, Registered 646 S Central Ave, Chicago, IL 60644 2012-05-07
1164790515 Elizabeth Eleanor Reid-tate Pharmacist 5222 W. Madison Avenue, Chicago, IL 60644 2011-12-13
1134458466 Power Teen Program Psychologist 300 N Central Ave, Chicago, IL 60644 2009-12-16
1417198342 Betty Jean Lofton Counselor 5938 W. Midway Park, Chicago, IL 60644 2009-03-24
1881856094 Sanjay M. Patel M.d. S.c. Psychiatry & Neurology 5730 W. Roosevelt Road, Chicago, IL 60644 2008-06-29
1073795845 Maryanne Rakidzioski Occupational Therapist 5103 W Jackson Blvd, Chicago, IL 60644 2007-12-03
1427279777 Sharon Lewis Lieteau Psychiatry & Neurology 415 South Kilpatrick Avenue, Chicago, IL 60644 2007-05-02
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Taxonomy Information

Taxonomy Code 310500000X
Grouping Nursing & Custodial Care Facilities
Classification Intermediate Care Facility, Mental Illness

Taxonomy Definition

A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154447753 Rainbow Beach Qoc, LLC Intermediate Care Facility, Mental Illness 7325 S Exchange Ave, Chicago, IL 60649-3407 2007-03-22
1932224243 Grasmere Place, LLC Intermediate Care Facility, Mental Illness 4621 N Sheridan Rd, Chicago, IL 60640-5019 2007-03-20
1528149382 Belmont Nursing Home, Inc. Intermediate Care Facility, Mental Illness 1936 W Belmont Ave, Chicago, IL 60657-2025 2006-10-18
1902994650 Sacred Heart Home Intermediate Care Facility, Mental Illness 1550 S Albany Ave, Chicago, IL 60623-2212 2006-10-10
1497783872 Clayton Residential Homes Inc Intermediate Care Facility, Mental Illness 2026 N Clark St, Chicago, IL 60614-4764 2006-06-28
1164450532 B&d Hotel Corporation Intermediate Care Facility, Mental Illness 321 N Central Ave, Chicago, IL 60644-2227 2006-06-28
1912998188 Nine Forty Cullom Corporation Intermediate Care Facility, Mental Illness 940 W Cullom Ave, Chicago, IL 60613 2005-11-04
1417942384 Margaret Manor Inc. Intermediate Care Facility, Mental Illness 1121 N Orleans St, Chicago, IL 60610 2005-09-15
1962407361 Wilson Care, Inc. Intermediate Care Facility, Mental Illness 4544 N Hazel St, Chicago, IL 60640-5716 2005-06-14
1891790242 Bryn Mawr Care, Inc. Intermediate Care Facility, Mental Illness 5547 N Kenmore Ave, Chicago, IL 60640-1515 2005-06-14
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Competitor

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City CHICAGO
Zip Code 60644

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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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