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ILLINOIS SUPREME HEALTH ORGANIZATION NPI 1194228429


NPI Information

NPI: 1194228429
Provider Name: ILLINOIS SUPREME HEALTH ORGANIZATION

Doing Business As: ISHO

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
5305 PLEASANT LN
CRESTWOOD, IL
ZIP 60418
Phone: (312) 841-5006
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ILLINOIS SUPREME HEALTH ORGANIZATION is a community behavioral health in Crestwood, IL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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. ILLINOIS SUPREME HEALTH ORGANIZATION NPI is 1194228429. The provider is registered as an organization entity type.
The provider Is Doing Business As Isho.

The provider's business location address is:

5305 PLEASANT LN
CRESTWOOD, IL
ZIP 60418-159
Phone: (312) 841-5006

The provider's authorized official is Manjhoni Edmondson .
The authorized official title is President and has the following contact phone number (312) 841-5006.

The enumeration date for this NPI number is 3/13/2018 and was last updated on 3/13/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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