West Suburbs Safe Haven

LBN: The Thresholds
West Suburbs Safe Haven is an health care organization with primary practice located at 1919 Main St , Melrose Park IL 60160-3737. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. The Thresholds can be contacted via phone (773) 572-5500, or through Klauer, Marcella via phone (773) 572-5480.

Contact Information

Primary practice address
1919 Main St Melrose Park IL 60160-3737
Phone: (773) 572-5500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Klauer, Marcella
Phone: (773) 572-5480

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1679720809
LBN Legal business name The Thresholds
DBA Doing business as West Suburbs Safe Haven
Authorized official Klauer, Marcella
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 19th, 2008
Last updated Jul 14th, 2022 - about 2 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 1679720809 NPPES
Illinois MEDICAID 04133

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