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:
Health care specialties
Specialty | Code | License # | 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 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1962663120 | NPPES |
Illinois | MEDICAID | 019 |
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