OrganizationThe Thresholds(Young Adult Program Diane'S House)Clinic/CenterAmbulatory Health Care FacilitiesPractice Address2041 W Arthur Ave, Chicago, IL 60645-5516(773) 572-5500PECOS EnrollmentBased on the most recent information from CMS, provider The Thresholds does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 4:18 PM.Profile DetailsProvider ID1700032083Provider TypeOrganizationFull NameThe ThresholdsOther NameYoung Adult Program Diane'S HouseSubpartYesEnumeration Date8/18/2008Last Updated7/14/2022Contact InformationPractice LocationPractice Address2041 W Arthur Ave, Chicago, IL 60645-5516Phone(773) 572-5500FaxUnlisted FaxMailing LocationMailing Address4101 N Ravenswood Ave, Chicago, IL 60613-2193Phone(773) 572-5500Fax(773) 537-3488Authorized OfficialNameKlauer, Marcella (Executive Assistant)Phone(773) 572-5480Provider TaxonomiesCodeDescriptionLicenseCode261QM0801XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseUnlisted IssuerCode251S00000XDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted IssuerCode320800000XDescriptionCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment FacilitiesLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID04133DescriptionMedicaidIssuerUnlistedIllinois