OrganizationActive
Access Community Experience, Inc.
NPI 1912353962 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Chicago, IL
Provider details
- NPI number
- 1912353962
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Melaku Tadesse, Ceo(708) 271-3463
- License
- 201500011C (IL)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 201500011C (IL)
Residential Treatment Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4530 S Woodlawn Ave Unit 104
Chicago, IL 60653-4487
Phone: (708) 271-3463
Fax: (773) 966-5437
Street-level locationGet directions
Mailing address
4530 S Woodlawn Ave Unit 104
Chicago, IL 60653-4487
Registry dates
- Enumerated
- 2016-05-09
- Last updated
- 2016-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.