Organization
ADA S. MCKINLEY COMMUNITY SERVICES, INC.
Active
Other names
HAMMOND HOUSE
Organization subpart
No
Provider details
NPI number
Authorized official
KEN FRIES (DIR QA&C)
(312) 385-2022
Entity
Organization
Contact information
Practice address
6701 S MORGAN ST, CHICAGO, IL 60621-1201
(773) 994-0833
(773) 994-8716
Mailing address
1359 W WASHINGTON BLVD, CHICAGO, IL 60607-1905
(312) 385-2000
(312) 554-0292
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030619
IDPH LICENSE
IL
Enumeration date
10/22/2012
Last updated
05/06/2025
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