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MARYVILLE MADDEN SHELTER
NPI 1508174749
Community Based Residential Treatment Facility, Mental Illness in Chicago, IL

Active since September 22, 2010
1658 W GRAND AVE, CHICAGO, IL 60622(312) 491-3500 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2022, May 12, 2021 (2 updates tracked since 2021).

About Maryville Madden Shelter NPPES

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

MARYVILLE MADDEN SHELTER (NPI 1508174749) is a healthcare organization registered as a community based residential treatment facility, mental illness in Chicago, Illinois and active in the NPI registry since September 2010. The organization lists Nancy Z Woulfe, Director Of Business Development, as its authorized official.

NPPES Registry Identity

NPI1508174749
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameMARYVILLE ACADEMY
Location Address1658 W GRAND AVEChicago, IL 60622-6309
Mailing Address1150 N River RdDes Plaines, IL 60016-1214 · (847) 294-1999 · Fax (847) 294-2892
Phone(312) 491-3500
Organization SubpartNo
Authorized OfficialNancy Z WoulfeDirector Of Business Development · (847) 294-1910
Enumeration DateSeptember 22, 2010
Last NPPES UpdateJuly 8, 20222 updates tracked since enumeration
NPPES CertifiedJuly 8, 2022
✔ NPI 1508174749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
1658 W GRAND AVE, Chicago, IL 60622
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Other Names 1

Other NameMaryville Madden Shelter

Other Providers at the Same Location NPPES 2

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

MARYVILLE ACADEMY
Clinic/Center (Rehabilitation, Substance Use Disorder)
1658 W GRAND AVE
CHICAGO, IL 60622
Cook County (312) 491-3530
MARYVILLE ACADEMY
Clinic/Center (Mental Health (Including Community Mental Health Center))
1658 W GRAND AVE
CHICAGO, IL 60622
Cook County (312) 491-3530

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 Maryville Academy's NPI number?

The NPI number for Maryville Academy is 1508174749. It was assigned to this organization in the NPPES registry on September 22, 2010. The provider is also known as Maryville Madden Shelter.

Where is Maryville Academy located?

Maryville Academy is located at 1658 W Grand Ave, Chicago, IL 60622. The listed phone number is (312) 491-3500.

What is Maryville Academy's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Maryville Academy was last updated on July 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.