Organization
A NEW AGE HUMAN SERVICES CORP.
Active
Other names
New Age Human Services
Organization subpart
No
Provider details
NPI number
Authorized official
CHARISSA MUNOZ-LIGO (EXECUTIVE DIRECTOR/QIDP/RN)
(773) 491-1480
Entity
Organization
Contact information
Practice address
5328 W PARKER AVE, CHICAGO, IL 60639-1521
(773) 237-8793
(708) 575-5903
Mailing address
5328 W PARKER AVE, CHICAGO, IL 60639-1521
(773) 237-8793
(708) 575-5903
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
201500008C
IL
Other
Enumeration date
12/10/2016
Last updated
12/10/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up