COLUMBUS MANOR
NPI 1336608439
Counselor - Addiction (Substance Use Disorder) in Chicago, IL

Q: What is Columbus Manor's NPI number?

The NPI number for Columbus Manor is 1336608439. It was assigned to this organization in the NPPES registry on March 18, 2019.

Q: What is Columbus Manor's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Columbus Manor was last updated on March 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 18, 2019

5107 W JACKSON BLVD, CHICAGO, IL 60644(708) 862-4054(708) 862-4138 Get Directions Write a Review

NPPES record last updated: March 18, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Columbus Manor NPPES

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

COLUMBUS MANOR (NPI 1336608439) is a healthcare organization registered as an addiction (substance use disorder) in Chicago, Illinois and active in the NPI registry since March 2019. The organization lists James Edward Beckett, Medical Director/president, as its authorized official.

NPPES Registry Identity

NPI1336608439

Entity TypeOrganization

Primary Taxonomy101YA0400X

Legal Business NameCOLUMBUS MANOR

Location Address5107 W JACKSON BLVDChicago, IL 60644-4316

Mailing Address1609 Sibley BlvdCalumet City, IL 60409-2217 · (708) 862-4054 · Fax (708) 862-4138

Phone(708) 862-4054

Fax(708) 862-4138

Organization SubpartYesParent: Calumet Counseling And Dui Services,inc

Authorized OfficialJames Edward BeckettMedical Director/president · (708) 341-6707

Enumeration DateMarch 18, 2019

✔ NPI 1336608439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

5107 W JACKSON BLVD, Chicago, IL 60644

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Columbus Manor's NPI number?

The NPI number for Columbus Manor is 1336608439. It was assigned to this organization in the NPPES registry on March 18, 2019.

Where is Columbus Manor located?

Columbus Manor is located at 5107 W Jackson Blvd, Chicago, IL 60644. The listed phone number is (708) 862-4054.

What is Columbus Manor's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Columbus Manor was last updated on March 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.