SHAW COMMUNITY INTEGRATION SERVICES
NPI 1710519046
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Chicago, IL

Q: What is Shaw Community Integration Services's NPI number?

The NPI number for Shaw Community Integration Services is 1710519046. It was assigned to this organization in the NPPES registry on February 5, 2020. The provider is doing business as SCIS Agency.

Q: What is Shaw Community Integration Services's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Active since February 05, 2020

8119 S VERNON AVE, CHICAGO, IL 60619(773) 952-1965(708) 810-9792 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Shaw Community Integration Services NPPES

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

SHAW COMMUNITY INTEGRATION SERVICES (NPI 1710519046), doing business as Scis Agency, is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Chicago, Illinois and active in the NPI registry since February 2020. The organization lists Rhonda Jefferson, Registered Nurse, as its authorized official.

NPPES Registry Identity

NPI1710519046

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameSHAW COMMUNITY INTEGRATION SERVICES

Location Address8119 S VERNON AVEChicago, IL 60619-4913

Mailing Address8119 S Vernon Ave # 1Chicago, IL 60619-4913 · (773) 952-1965 · Fax (708) 810-9792

Phone(773) 952-1965

Fax(708) 810-9792

Organization SubpartNo

Authorized OfficialRhonda JeffersonRegistered Nurse · (773) 952-1965

Enumeration DateFebruary 5, 2020

✔ NPI 1710519046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Also ListedRegistered Nurse · Psychiatric/Mental Health, AdultTaxonomy 163WP0809X

8119 S VERNON AVE, Chicago, IL 60619

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Other Names 1

Doing Business AsScis Agency

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 Shaw Community Integration Services's NPI number?

The NPI number for Shaw Community Integration Services is 1710519046. It was assigned to this organization in the NPPES registry on February 5, 2020. The provider is doing business as SCIS Agency.

Where is Shaw Community Integration Services located?

Shaw Community Integration Services is located at 8119 S Vernon Ave, Chicago, IL 60619. The listed phone number is (773) 952-1965.

What is Shaw Community Integration Services'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 Shaw Community Integration Services was last updated on February 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.