Provider Demographics
NPI:1750267217
Name:DAYSPRING PEACEFUL COMMUNITY INC.
Entity type:Organization
Organization Name:DAYSPRING PEACEFUL COMMUNITY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NDIDI
Authorized Official - Middle Name:PATIENCE
Authorized Official - Last Name:OBIALOR
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE-RN
Authorized Official - Phone:773-592-6026
Mailing Address - Street 1:18221 TORRENCE AVE STE 1C
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:IL
Mailing Address - Zip Code:60438-2870
Mailing Address - Country:US
Mailing Address - Phone:773-592-6026
Mailing Address - Fax:708-832-0741
Practice Address - Street 1:18221 TORRENCE AVE STE 1C
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:IL
Practice Address - Zip Code:60438-2870
Practice Address - Country:US
Practice Address - Phone:773-592-6026
Practice Address - Fax:708-832-0741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities