Way Back Inn

LBN: Way Back Inn
Way Back Inn is an health care organization with primary practice located at 104 Oak St. , Maywood IL 60153. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Way Back Inn can be contacted via phone (708) 344-3301, or through Pindiur, Anita Maria via phone (708) 344-3301.

Contact Information

Primary practice address
104 Oak St. Maywood IL 60153
Phone: (708) 344-3301
Fax: (708) 344-2944
Website:
Map and Directions
Authorized official contact:
Name: Pindiur, Anita Maria MS, LCPC
Phone: (708) 344-3301

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X A-0388-0008-A Illinois
Agencies / Community/Behavioral Health 251S00000X A-0388-0011-A Illinois
Agencies / Community/Behavioral Health 251S00000X A-0388-0002-A Illinois
Agencies / Community/Behavioral Health 251S00000X A-0388-0010-A Illinois
Agencies / Community/Behavioral Health 251S00000X A-0388-0004-A Illinois
Agencies / Community/Behavioral Health 251S00000X A-0388-0009-A Illinois
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X A-0388-0007-A Illinois
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X A-0388-0008-A Illinois
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X A-0388-0001-A Illinois
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X A-0388-0004-A Illinois
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X A-0388-0009-A Illinois
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X A-0388-0010-A Illinois
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X A-0388-0011-A Illinois
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X A-0388-0002-A Illinois

Profile Details

NPI number 1730472275
LBN Legal business name Way Back Inn
DBA Doing business as
Authorized official Pindiur, Anita Maria MS, LCPC
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2011
Last updated Aug 23rd, 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 1730472275 NPPES
Illinois Other A-0388-0002-A DHS-DASA
Illinois MEDICAID C-A-0388-0002-A DHS-DASA

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