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MADO HEALTHCARE - DOUGLAS PARK
NPI 1902994650
Intermediate Care Facility, Mental Illness in Chicago, IL

Active since October 10, 2006CLIA 14D0892412 · Waiver
1550 S ALBANY AVE, CHICAGO, IL 60623(773) 277-6868(773) 277-5014 Get Directions Write a Review

NPPES record last updated: April 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 15, 2019, Jan 11, 2017 (2 updates tracked since 2017).

About Mado Healthcare - Douglas Park NPPES

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

MADO HEALTHCARE - DOUGLAS PARK (NPI 1902994650) is a healthcare organization registered as an intermediate care facility, mental illness in Chicago, Illinois and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through September 28, 2026 and lists Peter J O'brien, President, as its authorized official.

NPPES Registry Identity

NPI1902994650
Entity TypeOrganization
Primary Taxonomy310500000X
Legal Business NameSACRED HEART HOME
Location Address1550 S ALBANY AVEChicago, IL 60623-2212
Mailing Address405 N Wabash Ave Ste P2wChicago, IL 60611-3541 · (312) 787-9400 · Fax (312) 787-9434
Phone(773) 277-6868
Fax(773) 277-5014
Organization SubpartNo
Authorized OfficialPeter J O'brienPresident · (312) 787-9400
Enumeration DateOctober 10, 2006
Last NPPES UpdateApril 15, 20192 updates tracked since enumeration
✔ NPI 1902994650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code310500000X
License✔ Licensed in IL · 0013334
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
1550 S ALBANY AVE, Chicago, IL 60623
Open in Google Maps ↗

Other Names 1

Doing Business AsMado Healthcare - Douglas Park

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0892412

Mado Healthcare - Douglas Park · Chicago, IL
Active · expires Sep 28, 2026
CLIA Number14D0892412
Laboratory TypeOther
Certificate Effective DateSeptember 29, 2024
Certificate Expiration DateSeptember 28, 2026
Laboratory DirectorMardy Gibbs
Laboratory Phone(773) 277-6868
Laboratory LocationMado Healthcare - Douglas Park1550 South Albany, Chicago, IL 60623
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

LUTHERAN SOCIAL SERVICES OF ILLINOIS
Clinic/Center (Rehabilitation, Substance Use Disorder)
1550 S ALBANY AVE
CHICAGO, IL 60623
Cook County (224) 275-1978
BETHANY HOMES AND METHODIST HOSPITAL
Clinic/Center (Adult Mental Health)
1550 S ALBANY AVE
CHICAGO, IL 60623
Cook County (773) 989-1465

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 Sacred Heart Home's NPI number?

The NPI number for Sacred Heart Home is 1902994650. It was assigned to this organization in the NPPES registry on October 10, 2006. The provider is doing business as Mado Healthcare - Douglas Park.

Where is Sacred Heart Home located?

Sacred Heart Home is located at 1550 S Albany Ave, Chicago, IL 60623. The listed phone number is (773) 277-6868.

What is Sacred Heart Home's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.

Does Sacred Heart Home hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0892412) is associated with this NPI, valid through September 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sacred Heart Home was last updated on April 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.