Organization
PURPLE HAVEN GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIDINMA OJI DNP (EXECUTIVE DIRECTOR)
(708) 880-9055
Entity
Organization
Contact information
Practice address
6006 159TH STREET, BLDG D UNIT 1W, OAK FOREST, IL 60452
(708) 880-9055
(708) 575-0077
Mailing address
6006 159TH STREET, BLDG D UNIT 1W, OAK FOREST, IL 60452
(708) 880-9055
(708) 575-0077
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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