Jasmine Healthcare Management LLC
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Address: 1507 E 53rd St Unit 247, Chicago, IL 60615-4573
Phone: 3126202410

Jasmine Healthcare Management LLC (NPI# 1972140960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1972140960
Entity Type Organization
Organization Name JASMINE HEALTHCARE MANAGEMENT LLC
Practice Address 1507 E 53rd St Unit 247
Chicago
IL 60615-4573
Practice Telephone 3126202410
Mailing Address 1507 E 53rd St Unit 247
Chicago
IL 60615-4573
Mailing Telephone 3126177857
Authorized Official Name Rosalyn Young (CEO/FOUNDER)
Authorized Official Telephone 3126177857
Authorized Official Credential MS CADC MAC
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2019-12-09
Last Update Date 2019-12-09

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 251B00000X Case Management Agencies
No 261QR0405X Clinic/Center · Rehabilitation, Substance Use Disorder Ambulatory Health Care Facilities
No 3104A0625X Assisted Living Facility · Assisted Living, Mental Illness Nursing & Custodial Care Facilities
No 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities
No 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities
Yes 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities
No 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities

Secondary Practice Locations

Address Telephone Number Fax Number
3039 W Peoria Ave Unit 104, Phoenix, AZ 850295212 6028886779

Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457839821 Adorn Health, Inc. Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 190 South Lasalle Street, #2100, Chicago, IL 60603-0003 2018-07-30
1215423538 Alyssa Jaye Saterfield Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1447 W Montrose Ave, Chicago, IL 60613-1348 2018-07-10
1336635135 Essential Lifestyles LLC Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 7408 S Harvard Ave, Chicago, IL 60621-3424 2018-07-03
1184113987 Ohana Community Services LLC Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4931 W Thomas St, Chicago, IL 60651-3129 2018-05-07
1124523352 Tylers Place Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 7347 S Claremont Ave, Chicago, IL 60636-3627 2018-03-29
1992207724 Universal Homes LLC Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 12512 S Wallace St, Chicago, IL 60628-7130 2018-03-07
1730623786 A New Age Human Services Corp. Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 5328 W Parker Ave, Chicago, IL 60639-1521 2016-12-10
1831643121 Lajaed Corporation Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 8026 S Wood St, Chicago, IL 60620-4546 2016-08-04
1912353962 Access Community Experience, Inc. Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4530 S Woodlawn Ave Unit 104, Chicago, IL 60653-4487 2016-05-09
1831545268 Divine Center, Inc Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 8351 S Marquette Ave, Chicago, IL 60617-2022 2016-05-04
Find all providers in CHICAGO

Office Location

Street Address 1507 E 53RD ST UNIT 247
City CHICAGO
State IL
Zip Code 60615-4573

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194207522 Cindy Louise Lys Social Worker 1525 E 53rd Street Suite 516-4, Chicago, IL 60615 2018-09-01
1861983660 Pranusha Pinna Student in an Organized Health Care Education/Training Program 1850 W. Harrison St., Chicago, IL 60615 2018-05-29
1528577632 Jonah Waseberg Counselor 1100 E.55th St, Chicago, IL 60615 2017-09-21
1710404496 Tawann Jackson Psychologist 360 Blair Lane, Door 13, Bolingbrook, IL 60615 2017-08-24
1194259069 Molly Kachale Netter Nurse Practitioner 1554 E 55th St., Chicago, IL 60615 2017-04-17
1205387990 Kirk Remon Riddle Counselor 1525 E. 53rd Street, Suite 425, Chicago, IL 60615 2016-10-18
1326598319 Highland Park Cvs, L.l.c. Durable Medical Equipment & Medical Supplies 1346 E 53rd St., Chicago, IL 60615 2016-10-13
1528518834 Patricia Marie Hicks Nurse's Aide 4724 S. Vincennes, 208, Chicago, IL 60615 2016-10-11
1144779935 Theodore Tran Pharmacist 430 E. 50th Place, Chicago, IL 60615 2016-09-22
1962951756 Dawn Purnell Pharmacist 430 East 50th Place, Chicago, IL 60615 2016-09-22
Find all providers in zip 60615

Competitor

Search similar providers

City CHICAGO
Zip Code 60615

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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