HEARTLAND ALLIANCE HEALTH (NPI# 1417580101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417580101 |
| Entity Type | Organization |
| Organization Name | HEARTLAND ALLIANCE HEALTH |
| Practice Address |
5501 S Halsted St Chicago IL 60621-2229 |
| Mailing Address |
4750 N Sheridan Rd Ste 449 Chicago IL 60640-5078 |
| Practice Telephone | 7736325700 |
| Practice Fax Number | 7739620376 |
| Mailing Telephone | 7737514129 |
| Mailing Fax Number | 7737514175 |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |
| Authorized Official Name | JIMMY VALENTIN (DIRECTOR, REVENUE CYCLE MANAGEMENT) |
| Authorized Official Telephone | 7737514129 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Heartland Alliance Health - Englewood Oral Health | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306279070 | Heartland Alliance Health | Clinic/Center | 932 W Washington Blvd Fl 2, Chicago, IL 60607-2217 | 2013-08-16 |
| 1962663120 | Heartland Alliance Health | Psychologist | 1207 W Leland, Chicago, IL 60640-6043 | 2008-06-20 |
| 1578724738 | Heartland Alliance Health | Community/Behavioral Health | 4730 N Winthrop, Chicago, IL 60640-7528 | 2008-06-20 |
| 1588825749 | Heartland Alliance Health | Case Management | 4750 N Sheridan Road, Suite 500, Chicago, IL 60640-5095 | 2008-06-20 |
| 1619134111 | Heartland Alliance Health | Community/Behavioral Health | 4750 N Sheridan Road, Suite 500, Chicago, IL 60640-7528 | 2008-05-21 |
| 1851828198 | Heartland Alliance Health | Case Management | 5501 S Halsted St, Chicago, IL 60621-2229 | 2017-05-17 |
| 1538294483 | Heartland Alliance Health | Case Management | 1015 W Lawrence Ave, Chicago, IL 60640-5017 | 2007-02-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HEARTLAND ALLIANCE HEALTH | 208 S Lasalle St Ste 1300, Chicago, IL 60604-1286 |
| Street Address |
5501 S HALSTED ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60621-2229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548646755 | Farqan Khan | Registered Nurse | 5501 S Halsted St, Chicago, IL 60621-2229 | 2015-08-11 |
| 1063908515 | Zainab Otun | Registered Nurse | 5501 S Halsted St, Chicago, IL 60621-2229 | 2018-07-09 |
| 1447761002 | Jameese Ynez Sykes | Nurse Practitioner | 5501 S Halsted St, Chicago, IL 60621 | 2017-10-22 |
| 1851828198 | Heartland Alliance Health | Case Management | 5501 S Halsted St, Chicago, IL 60621-2229 | 2017-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740803394 | Conrad Care Incorporated | Home Health | 142 W . 62nd Street, Suite 203, Chicago, IL 60621 | 2020-05-18 |
| 1275068876 | St. Bernard Hospital Ambulatory Care Clinic | Clinic/Center | 6307 S Stewart, Chicago, IL 60621 | 2017-04-21 |
| 1063954519 | Created2careltd | Secured Medical Transport (VAN) | 5632 S. Emerald Ave, Chicago, IL 60621 | 2016-11-15 |
| 1932566023 | Windycitywheelchairservice | Technician, Other | 6427 S Parnell Ave, Chicago, IL 60621 | 2016-01-21 |
| 1194127787 | Aaa-1 Transportation | Secured Medical Transport (VAN) | 5740 S Emerald Ave, Chicago, IL 60621 | 2014-09-25 |
| 1871893859 | Anuj Jain | Family Medicine | 6508 S Halsted Street, Chicago, IL 60621 | 2010-10-25 |
| 1750538104 | Adolfo M. Maglaya, M.d., S.c. | Internal Medicine | 326 W. 64th St., Chicago, IL 60621 | 2008-08-27 |
| 1083882997 | Englewood Satellite Senior Center | Clinic/Center | 657 W. 63rd St, Chicago, IL 60621 | 2008-02-13 |
| 1295952059 | Carrington Radiology, S.c. | Radiology | St. Bernard Hospital, 326 W. 64th Street, 2nd Floor (radiology Department), Chicago, IL 60621 | 2007-04-20 |
| 1851427660 | Dilipkumar Parikh Md | Internal Medicine | 324 West 64th St, Suite 216, Chicago, IL 60621 | 2007-02-26 |
| Find all providers in zip 60621 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144852260 | Vincent Wallace | Clinic/Center | 226 W Ontario St, Chicago, IL 60654-3619 | 2020-02-06 |
| 1053957993 | Safer Foundation | Clinic/Center | 769 W Jackson, Unit G, Chicago, IL 60661 | 2019-11-26 |
| 1255977195 | Safer Foundation | Clinic/Center | 6352 W Grand Ave, Chicago, IL 60639-2650 | 2019-11-26 |
| 1063068492 | The Threshold | Clinic/Center | 3015 W Harrison St, Chicago, IL 60612 | 2019-08-12 |
| 1790338150 | Solleys House | Clinic/Center | 4163 S Archer Ave, Chicago, IL 60632-1870 | 2019-07-24 |
| 1366925489 | Lurie Children's Adolescent Substance Abuse and Prevention Progarm | Clinic/Center | 1440 N Dayton St, Chicago, IL 60642-2644 | 2018-09-13 |
| 1710482815 | Gateway Foundation, Inc. | Clinic/Center | 415 N Dearborn St Ste 510, Chicago, IL 60654-4626 | 2018-03-29 |
| 1366957292 | Maryville Academy | Clinic/Center | 1510 N Claremont Ave, Chicago, IL 60622-1710 | 2017-12-14 |
| 1053836395 | Aunt Martha's Health and Wellness, Inc. | Clinic/Center | 5001 S Michigan Ave Ste B, Chicago, IL 60615-2112 | 2017-08-08 |
| 1437679255 | Sixto Garcia | Clinic/Center | 1100 W. Cermak Rd, Chicago, IL 60608 | 2017-06-22 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.