KWANZA SUITES CORPORATION
NPI 1619329604
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Evergreen Park, IL
About Kwanza Suites Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KWANZA SUITES CORPORATION (NPI 1619329604) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Evergreen Park, Illinois and active in the NPI registry since July 2016. The organization lists Emmanuel K Addison, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Kwanza Suites Corporation's NPI number?
The NPI number for Kwanza Suites Corporation is 1619329604. It was assigned to this organization in the NPPES registry on July 1, 2016.
Where is Kwanza Suites Corporation located?
Kwanza Suites Corporation is located at 9652 S Francisco Ave, Evergreen Park, IL 60805. The listed phone number is (708) 425-0193.
What is Kwanza Suites Corporation's specialty?
The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
When was this NPI record last updated?
The NPPES record for Kwanza Suites Corporation was last updated on July 1, 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.
# Kwanza Suites Corporation · NPI 1619329604
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities organization in Evergreen Park, Illinois. Organization record, active in the CMS NPPES registry since July 1, 2016.
## Identity
- **NPI:** 1619329604 (Entity type: Organization)
- **Enumerated:** July 1, 2016
- **Primary specialty:** Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · taxonomy 320900000X
- **Organization subpart:** No
- **Authorized official:** Emmanuel Addison, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 9652 S FRANCISCO AVE, Evergreen Park, IL 60805-2710
- **Phone:** (708) 425-0193
## Record status
- **NPPES last updated:** July 1, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1619329604) · Data from the CMS NPPES public registry.