Skip to content
NPISignal

Organization

Nine Forty Cullom Corporation

NPI Record: ActiveIntermediate Care Facility, Mental Illness
NPI1912998188
Chicago, Illinois

Provider's NPPES record last updated: April 15, 2019

Overview

Entity Type
Organization
NPI
1912998188
Primary Specialty
Intermediate Care Facility, Mental Illness
Practice Location
Chicago, Illinois
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 6:22 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Intermediate Care Facility, Mental Illness

    Nursing & Custodial Care Facilities

    Primary

    A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.

    Taxonomy code 310500000X

Provider-Reported License Information

Intermediate Care Facility, Mental Illness (Illinois)
0017178
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

940 W Cullom Ave

Chicago, Illinois 60613

Phone: (773) 525-9000

Other Names

  • Mado Healthcare - Buena ParkReported April 15, 2019

Record Information

Enumeration Date
November 4, 2005
Provider's NPPES Record Last Updated
April 15, 2019
NPISignal NPPES Dataset
August 2026

See Something Wrong?

Incorrect provider information

Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.

Update a record through NPPES

Something wrong with this page?

If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.

Report a display issue