Nine Forty Cullom Corporation
NPI 1912998188 · Mental Illness Intermediate Care Facility · Chicago, IL
Nine Forty Cullom Corporation is a Mental Illness Intermediate Care Facility organization in Chicago, IL (NPI 1912998188).
Provider details
- NPI number
- 1912998188
- Entity type
- Organization
- Primary specialty
- Mental Illness Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Peter Obrien, President(312) 787-9400
- License
- 0017178 (IL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Other names (DBA / former)
- Doing business as
- Mado Healthcare - Buena Park
Registry dates
- Enumerated
- 2005-11-04
- Last updated
- 2019-04-15
Frequently asked questions
- What is Nine Forty Cullom Corporation's NPI number?
- Nine Forty Cullom Corporation's National Provider Identifier (NPI) is 1912998188, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nine Forty Cullom Corporation?
- Nine Forty Cullom Corporation is classified in the NPPES registry as Mental Illness Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Nine Forty Cullom Corporation located?
- Nine Forty Cullom Corporation's practice location on file with NPPES is 940 W Cullom Ave, Chicago, IL 60613.
- What is Nine Forty Cullom Corporation's phone number?
- The practice phone number listed in the NPPES registry for Nine Forty Cullom Corporation is (773) 525-9000.
- Who is the authorized official for Nine Forty Cullom Corporation?
- The authorized official listed on Nine Forty Cullom Corporation's NPPES record is Peter Obrien, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nine Forty Cullom Corporation's NPI active?
- Yes — Nine Forty Cullom Corporation's NPI (1912998188) is active in the NPPES registry as of the last update on 2019-04-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.