PRESENCE BEHAVIORAL HEALTH NPI 1649427774

NPI Information

  • NPI: 1649427774
  • Provider Name: PRESENCE BEHAVIORAL HEALTH
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Doing Business As: PROCARE CENTERS
  • CLIA Number: 14D1062278
  • Address: 1820 S 25TH AVE
    BROADVIEW, IL
    ZIP 60155
  • Phone: (708) 338-3806

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NPI Details

PRESENCE BEHAVIORAL HEALTH is a rehabilitation and substance use disorder clinic center in Broadview, IL. PRESENCE BEHAVIORAL HEALTH NPI is 1649427774. The provider is registered as an organization entity type.
The provider Is Doing Business As Procare Centers.

The provider's business location address is:

1820 S 25TH AVE
BROADVIEW, IL
ZIP 60155-864
Phone: (708) 338-3806
Fax: (708) 681-1289

The provider's authorized official is Kristin Kamiski .
The authorized official title is Manager, General Accounting and has the following contact phone number (708) 338-3806.

The CLIA number assigned to this NPI record is 14D1062278 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/20/2008 and was last updated on 7/27/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1619910MEDICARE PINILLINOIS
21616027OTHERILLINOISBCBS
3619911MEDICARE PINILLINOIS
4204281MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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