ST. MARY OF PROVIDENCE DEVELOPMENTAL TRAINING PROGRAM
NPI 1609224328
Day Training, Developmentally Disabled Services in Chicago, IL

Q: What is St. Mary Of Providence Developmental Training Program's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

Active since June 03, 2016

4200 N AUSTIN AVE, CHICAGO, IL 60634(773) 545-8300 Get Directions Write a Review

NPPES record last updated: June 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About St. Mary Of Providence Developmental Training Program NPPES

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

ST. MARY OF PROVIDENCE DEVELOPMENTAL TRAINING PROGRAM (NPI 1609224328) is a healthcare organization registered as a day training, developmentally disabled services in Chicago, Illinois and active in the NPI registry since June 2016. The organization lists Charleen M Badiola, Director, as its authorized official.

NPPES Registry Identity

NPI1609224328

Entity TypeOrganization

Primary Taxonomy251C00000X

Legal Business NameST. MARY OF PROVIDENCE DEVELOPMENTAL TRAINING PROGRAM

Location Address4200 N AUSTIN AVEChicago, IL 60634-1615

Mailing Address4200 N Austin AveChicago, IL 60634-1615 · (773) 545-8300

Phone(773) 545-8300

Organization SubpartYesParent: St. Mary Of Providence

Authorized OfficialCharleen M BadiolaDirector · (773) 545-8300

Enumeration DateJune 3, 2016

✔ NPI 1609224328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies

Taxonomy Code251C00000X

License✔ Licensed in IL · 36217748

Definition

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

4200 N AUSTIN AVE, Chicago, IL 60634

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Other Identifiers 1

Medicaid14G191IL

Other Providers at the Same Location NPPES

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

PROVIDENCE CENTER

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

4200 N AUSTIN AVE
CHICAGO, IL 60634

Cook County (773) 545-8300

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 St. Mary Of Providence Developmental Training Program's NPI number?

The NPI number for St. Mary Of Providence Developmental Training Program is 1609224328. It was assigned to this organization in the NPPES registry on June 3, 2016.

Where is St. Mary Of Providence Developmental Training Program located?

St. Mary Of Providence Developmental Training Program is located at 4200 N Austin Ave, Chicago, IL 60634. The listed phone number is (773) 545-8300.

What is St. Mary Of Providence Developmental Training Program's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for St. Mary Of Providence Developmental Training Program was last updated on June 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.