MEDICARE: HUEMANITY HOMES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1346995198
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUEMANITY HOMES, INC

Provider Business Mailing Address
First Line	:	22317 MURPHY AVE
Second Line	:
City	:	SAUK VILLAGE
State	:	IL
Zip	:	60411-5817
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	22317 MURPHY AVE
Second Line	:
City	:	SAUK VILLAGE
State	:	IL
Zip	:	60411-5817
Country	:	US
Telephone Number	:	708-573-4458
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ANTOINETTE BUTLER
Credential	:
Telephone Number	:	708-573-4458

Provider Enumeration Date	:	02/18/2022
Last Update Date	:	02/18/2022

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