HEARTLAND ALLIANCE HEALTH (NPI# 1962663120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962663120 |
| Entity Type | Organization |
| Organization Name | HEARTLAND ALLIANCE HEALTH |
| Other Organization Name | HEARTLAND HEALTH OUTREACH |
| Practice Address |
1207 W Leland Chicago IL 60640-6043 |
| Mailing Address |
4750 N Sheridan Rd Ste 449 Chicago IL 60640-5078 |
| Practice Telephone | 7733347117 |
| Practice Fax Number | 7733347277 |
| Mailing Telephone | 7737514129 |
| Mailing Fax Number | 7737514175 |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2020-04-27 |
| Authorized Official Name | EDWARD STELLON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7737514129 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
019 | IL | Behavioral Health & Social Service Providers |
| N | 251B00000X | Case Management | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | 019 | IL | Agencies |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 019 | 05 |
| Other Name | Type Code |
|---|---|
| Chicago Health Outreach | Former Legal Business Name - Organization |
| Heartland Health Outreach | Former Legal Business Name - 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 |
| 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 |
| 1417580101 | Heartland Alliance Health | Clinic/Center | 5501 S Halsted St, Chicago, IL 60621-2229 | 2020-02-20 |
| 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 |
1207 W LELAND |
| City | CHICAGO |
| State | IL |
| Zip Code | 60640-6043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
| 1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
| 1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
| 1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
| 1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
| 1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
| 1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
| Find all providers in zip 60640 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386241123 | Envision Unlimited | Clinic/Center | 1801 N Spaulding Ave, Chicago, IL 60647-4926 | 2020-10-05 |
| 1881291789 | Jessica Weisbach, LLC | Clinic/Center | 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 | 2020-10-04 |
| 1619574803 | Envision Unlimited | Clinic/Center | 2124 W 82nd Pl, Chicago, IL 60620-5358 | 2020-10-01 |
| 1144827320 | Envision Unlimited | Clinic/Center | 4919 N Clark St, Chicago, IL 60640-3514 | 2020-10-01 |
| 1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
| 1144837055 | Totality. Therapies LLC | Clinic/Center | 2027 W Division St Ste 157, Chicago, IL 60622-9024 | 2020-09-24 |
| 1790391373 | Luminary Solutions, LLC | Clinic/Center | 3166 N Lincoln Ave Ste 305, Chicago, IL 60657-3119 | 2020-09-19 |
| 1114533924 | A Safe Haven, L.L.C. | Clinic/Center | 600 S Wabash Ave, Chicago, IL 60605-1808 | 2020-09-17 |
| 1235745142 | A Safe Haven, L.L.C. | Clinic/Center | 7355 N Damen Ave, Chicago, IL 60645-2311 | 2020-09-17 |
| 1386250199 | A Safe Haven, L.L.C. | Clinic/Center | 7342-46 S Kingston, Chicago, IL 60649 | 2020-09-17 |
| 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.