Organization
TABLE OF HOPE CHICAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANELL HAYES (PRESIDENT)
(773) 971-2319
Entity
Organization
Contact information
Practice address
1130 N HAMLIN AVE, CHICAGO, IL 60651-3841
(773) 971-2319
Mailing address
1130 N HAMLIN AVE, CHICAGO, IL 60651-3841
(773) 971-2319
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
332U00000X
Home Delivered Meals
—
—
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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