STATE OF ILLINOIS DEPARTMENT OF HUMAN SERVICES
NPI 1962954099
Custodial Care Facility - Adult Care Home in Chicago, IL

Q: What is State Of Illinois Department Of Human Services's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Active since October 24, 2016

10724 S INDIANA AVE, CHICAGO, IL 60628(312) 513-4566 Get Directions Write a Review

NPPES record last updated: October 24, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About State Of Illinois Department Of Human Services NPPES

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

STATE OF ILLINOIS DEPARTMENT OF HUMAN SERVICES (NPI 1962954099) is a healthcare organization registered as an adult care home in Chicago, Illinois and active in the NPI registry since October 2016. The organization lists Natasha Craig, Cna / Home Health Aid, as its authorized official.

NPPES Registry Identity

NPI1962954099

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameSTATE OF ILLINOIS DEPARTMENT OF HUMAN SERVICES

Location Address10724 S INDIANA AVEChicago, IL 60628-3615

Mailing Address10724 S Indiana AveChicago, IL 60628-3615 · (312) 513-4566

Phone(312) 513-4566

Organization SubpartNo

Authorized OfficialNatasha CraigCna / Home Health Aid · (312) 513-4566

Enumeration DateOctober 24, 2016

✔ NPI 1962954099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

License✔ Licensed in IL · 0971

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

10724 S INDIANA AVE, Chicago, IL 60628

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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 State Of Illinois Department Of Human Services's NPI number?

The NPI number for State Of Illinois Department Of Human Services is 1962954099. It was assigned to this organization in the NPPES registry on October 24, 2016.

Where is State Of Illinois Department Of Human Services located?

State Of Illinois Department Of Human Services is located at 10724 S Indiana Ave, Chicago, IL 60628. The listed phone number is (312) 513-4566.

What is State Of Illinois Department Of Human Services's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for State Of Illinois Department Of Human Services was last updated on October 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.