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EDEN SOUTH SHORE LLC
NPI 1447760715
Assisted Living Facility in Chicago, IL

Active since October 02, 2017
7156 S DORCHESTER AVE, CHICAGO, IL 60619(773) 466-6868 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Assisted Living Facility

About EDEN SOUTH SHORE LLC

This page provides the complete NPI Profile along with additional information for Eden South Shore Llc, a provider established in Chicago, Illinois operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1447760715 assigned on October 2017. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Eden South Shore Llc. The authorized official of this NPI record is Faizan Siddique (Business Office Manager)

NPI
1447760715 Verify this NPI
Provider Legal Name
7140 DORCHESTER PROPERTIES LLC
Other Organization Name
EDEN SOUTH SHORE LLC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
7156 S DORCHESTER AVE CHICAGO, IL 60619
Location Phone
(773) 466-6868
Mailing Address
7156 S DORCHESTER AVE CHICAGO, IL 60619
Mailing Phone
(773) 466-6868
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-02-2017
Last Update Date
07-21-2022
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

FAIZAN SIDDIQUE

Authorized Official Title
BUSINESS OFFICE MANAGER
Authorized Official Phone
(773) 466-6868

Reviews for EDEN SOUTH SHORE LLC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

SHERMANA SNOW LCSW
Social Worker (Clinical)
7156 S DORCHESTER AVE
CHICAGO, IL 60619
Cook County (773) 466-6868

Frequently Asked Questions

What is 7140 DORCHESTER PROPERTIES LLC's NPI number?

The NPI number assigned to this healthcare provider is 1447760715, enumerated as an "organization" on October 02, 2017.

Where is the provider located?

The provider is located at 7156 S DORCHESTER AVE CHICAGO, IL 60619 and the phone number is (773) 466-6868.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.