MISERICORDIA HOME
NPI 1003864844
Intermediate Care Facility, Intellectual Disabilities in Chicago, IL

Q: What is Misericordia Home's NPI number?

The NPI number for Misericordia Home is 1003864844. It was assigned to this organization in the NPPES registry on May 4, 2006.

Q: What is Misericordia Home's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Q: When was this NPI record last updated?

The NPPES record for Misericordia Home was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 04, 2006CLIA 14D1039695 · Waiver

6300 N RIDGE AVE, CHICAGO, IL 60660(773) 973-6300(773) 743-5439 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Misericordia Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISERICORDIA HOME (NPI 1003864844) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Chicago, Illinois and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through April 19, 2027 and lists Denise Tigges, Administrator, as its authorized official.

NPPES Registry Identity

NPI1003864844

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameMISERICORDIA HOME

Location Address6300 N RIDGE AVEChicago, IL 60660-1017

Mailing Address6300 N Ridge AveChicago, IL 60660-1017 · (773) 973-6300 · Fax (773) 743-5439

Phone(773) 973-6300

Fax(773) 743-5439

Organization SubpartNo

Authorized OfficialDenise TiggesAdministrator · (773) 273-3544

Enumeration DateMay 4, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1003864844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

License✔ Licensed in IL · 0029876

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

6300 N RIDGE AVE, Chicago, IL 60660

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D1039695

Misericordia Home · Chicago, IL

Active · expires Apr 19, 2027

CLIA Number14D1039695

Laboratory TypeIntermediate Care Facility For Mentally Retarded

Certificate Effective DateApril 20, 2025

Certificate Expiration DateApril 19, 2027

Laboratory DirectorPamella A. Bryier

Laboratory Phone(773) 273-4127

Laboratory LocationMisericordia Home6300 N Ridge, Chicago, IL 60660

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. TARA L REYES FNP

Nurse Practitioner (Family)

6300 N RIDGE AVE
CHICAGO, IL 60660

Cook County (773) 973-6300

About Misericordia Home NPPES

NPPES Registry Identity

Specialties & Licenses

CLIA Laboratory Certificates CMS CLIA

Certificate of Waiver · 14D1039695

Other Providers at the Same Location NPPES 20

Frequently Asked Questions NPPES & CMS

What is Misericordia Home's NPI number?

Where is Misericordia Home located?

What is Misericordia Home's specialty?

Does Misericordia Home hold a CLIA laboratory certificate?

When was this NPI record last updated?

Certificate of Waiver 14D1039695