Heartland Health Outreach

LBN: Heartland Alliance Health
Heartland Health Outreach is an health care organization with primary practice located at 1207 W Leland , Chicago IL 60640-6043. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Heartland Alliance Health can be contacted via phone (773) 334-7117, or through Stellon, Edward via phone (773) 751-4129.

Contact Information

Primary practice address
1207 W Leland Chicago IL 60640-6043
Phone: (773) 334-7117
Fax: (773) 334-7277
Website:
Map and Directions
Authorized official contact:
Name: Stellon, Edward
Phone: (773) 751-4129

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 019 Illinois
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X 019 Illinois
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1962663120
LBN Legal business name Heartland Alliance Health
DBA Doing business as Heartland Health Outreach
Authorized official Stellon, Edward
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2008
Last updated Apr 27th, 2020 - about 5 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 1962663120 NPPES
Illinois MEDICAID 019

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