MYSI CORPORATION (NPI# 1801253299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801253299 |
| Entity Type | Organization |
| Organization Name | MYSI CORPORATION |
| Practice Address |
3001 W 111th St Suite 103 Chicago IL 60655-2240 |
| Practice Telephone | 7738404600 |
| Practice Fax Number | 7738404605 |
| Mailing Telephone | 7738404600 |
| Mailing Fax Number | 7738404605 |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2016-01-15 |
| Authorized Official Name | MRS. TOLEDA HART (PRESIDENT/CEO) |
| Authorized Official Telephone | 7738404600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 201400011C | IL | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639542681 | Mysi Corporation | Community/Behavioral Health | 3001 W 111th St, Suite 103, Chicago, IL 60655-2240 | 2015-11-12 |
| Street Address |
3001 W 111TH ST SUITE 103 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60655-2240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639542681 | Mysi Corporation | Community/Behavioral Health | 3001 W 111th St, Suite 103, Chicago, IL 60655-2240 | 2015-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629632401 | Hillary Woodward Carroll | Nurse Practitioner | 3258 W 111th Chicago, Il, Chicago, IL 60655 | 2019-04-26 |
| 1679029995 | Meghan Robbins | Pharmacy Technician | 10428 S. Springfield, Chicago, IL 60655 | 2016-08-28 |
| 1356700728 | Molly Samansky | Speech-Language Pathologist | 2549 W 106thh Pl, Chicago, IL 60655 | 2016-02-15 |
| 1134533615 | Axis Physical Medicine | Physical Therapist | 11005 S Kedzie Ave, Chicago, IL 60655 | 2014-06-12 |
| 1821439738 | Mercy Circle | Skilled Nursing Facility | 3659 W. 99th Street, Chicago, IL 60655 | 2013-07-09 |
| 1962772921 | E.m. Branch and Associates, Inc | Social Worker | 3139 W. 111th Street, Chicago, IL 60655 | 2012-01-09 |
| 1922377951 | Patricia Murphy | Counselor | 10435 Kedzie Ave, Chicago, IL 60655 | 2011-12-20 |
| 1346518891 | Kelly Diana Koch | Occupational Therapist | 11143 S. Troy, Chicago, IL 60655 | 2011-12-12 |
| 1265678544 | Lawrence Michael Furlan | Dentist | 10900 S Kedzie, Chicago, IL 60655 | 2008-12-17 |
| 1710122361 | Athletico, Ltd | Physical Therapist | 3644 W. 111th Street, Chicago, IL 60655 | 2008-12-11 |
| Find all providers in zip 60655 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770116287 | Universal Homes LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12101 S La Salle St, Chicago, IL 60628-6618 | 2020-02-13 |
| 1760014625 | Tomeka R Morgan | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11543 S Ashland Ave, Chicago, IL 60643-5001 | 2020-02-10 |
| 1457839821 | Adorn Health, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 190 South Lasalle Street, #2100, Chicago, IL 60603-0003 | 2018-07-30 |
| 1215423538 | Alyssa Jaye Saterfield | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1447 W Montrose Ave, Chicago, IL 60613-1348 | 2018-07-10 |
| 1336635135 | Essential Lifestyles LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7408 S Harvard Ave, Chicago, IL 60621-3424 | 2018-07-03 |
| 1184113987 | Ohana Community Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4931 W Thomas St, Chicago, IL 60651-3129 | 2018-05-07 |
| 1124523352 | Tylers Place | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7347 S Claremont Ave, Chicago, IL 60636-3627 | 2018-03-29 |
| 1992207724 | Universal Homes LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12512 S Wallace St, Chicago, IL 60628-7130 | 2018-03-07 |
| 1730623786 | A New Age Human Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5328 W Parker Ave, Chicago, IL 60639-1521 | 2016-12-10 |
| 1831643121 | Lajaed Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8026 S Wood St, Chicago, IL 60620-4546 | 2016-08-04 |
| 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.