HOUSE OF HEARTS CILA LLC NPI 1982386702

NPI Information

NPI: 1982386702
Provider Name: HOUSE OF HEARTS CILA LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
2111 121ST ST
BLUE ISLAND, IL
ZIP 60406
Phone: (773) 499-4062
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HOUSE OF HEARTS CILA LLC is a rehabilitation and substance use disorder clinic center in Blue Island, IL. HOUSE OF HEARTS CILA LLC NPI is 1982386702. The provider is registered as an organization entity type.

The provider's business location address is:

2111 121ST ST
BLUE ISLAND, IL
ZIP 60406-201
Phone: (773) 499-4062

The provider's authorized official is Marvin Coklow .
The authorized official title is Cfo and has the following contact phone number (773) 597-7698.

The enumeration date for this NPI number is 8/2/2023 and was last updated on 8/2/2023.

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
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

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: 5/5/2024

NPI Synchronization or Removal

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