Active NPI
Lifesaver Intervention Center Inc
- Methadone Clinic
- Chicago, IL
National Provider Identifier
1003537390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- Legal business name
- LIFESAVER INTERVENTION CENTER INC
- Practice address
- 7933 S Yates Blvd Ste 205
Chicago, IL 60617-1102 - Phone
- (877) 989-9198
- NPI assigned
- Sep 6, 2022
- Last updated
- Sep 6, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brandy Hanson, DNP, APRN, FNP-BC
- Title
- Ceo
- Phone
- (877) 989-9198
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | NU | ||
| Multi-Specialty Clinic/Center | 261QM1300X | NU | ||
| Methadone Clinic | 261QM2800X | NU | Primary | |
| Family Nurse Practitioner | 363LF0000X | NU |
Addresses
Primary practice location
7933 S Yates Blvd Ste 205
Chicago, IL 60617-1102
Mailing address
7933 S Yates Blvd Ste 205
Chicago, IL 60617-1102
Phone (877) 989-9198
National Provider Directory
National Provider DirectoryLocations
7933 S Yates Blvd
Ste 205
Chicago, IL 60617
Phone (877) 989-9198
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662422400000",
"number": "1003537390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7933 S YATES BLVD STE 205",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606171102",
"telephone_number": "877-989-9198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7933 S YATES BLVD STE 205",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606171102",
"telephone_number": "877-989-9198"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFESAVER INTERVENTION CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-06",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A",
"authorized_official_last_name": "HANSON",
"authorized_official_first_name": "BRANDY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "877-989-9198",
"authorized_official_credential": "DNP, APRN, FNP-BC"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.