Heartland Health Outreach

LBN: Heartland Alliance Health
Heartland Health Outreach is an health care organization with primary practice located at 1015 W Lawrence Ave , Chicago IL 60640-5017. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Heartland Alliance Health can be contacted via phone (773) 751-4129, or through Valentin, Jimmy via phone (773) 751-4129.

Contact Information

Primary practice address
1015 W Lawrence Ave Chicago IL 60640-5017
Fax: (773) 751-4175
Website:
Authorized official contact:
Name: Valentin, Jimmy

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 077560001 Illinois

Profile Details

NPI number 1619134111
LBN Legal business name Heartland Alliance Health
DBA Doing business as Heartland Health Outreach
Authorized official Valentin, Jimmy
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2008
Last updated Nov 17th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619134111 NPPES
Illinois MEDICAID 022

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