1164691887 NPI number — HUMAN RESOURCES DEVELOPMENT INSTIT, INC

Table of content: (NPI 1164691887)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164691887 NPI number — HUMAN RESOURCES DEVELOPMENT INSTIT, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HUMAN RESOURCES DEVELOPMENT INSTIT, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
HRDI WOMENS HUD RESIDENTIAL
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1164691887
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/25/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
222 S JEFFERSON ST
Provider Second Line Business Mailing Address:
200
Provider Business Mailing Address City Name:
CHICAGO
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60661-5603
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
312-441-9009
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1223 W MARQUETTE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60636-2926
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
773-651-2728
Provider Business Practice Location Address Fax Number:
773-651-2721
Provider Enumeration Date:
02/27/2008

Additional Information

Authorized Official

Authorized Official Last Name:
RICHARDSON
Authorized Official First Name:
RENZY
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF CONTRACT ADMINISTRATION
Authorized Official Telephone Number:
312-441-9009

Provider Taxonomy Codes

  • Taxonomy code: 261QM0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 320800000X , with the licence number: 04073 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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