NPIMap

Organization Active NPI

2014 Health, LLC

  • Psychiatric Hospital
  • Des Plaines, IL
National Provider Identifier
1083021877
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
2014 HEALTH, LLC
Practice address
555 Wilson LN
Des Plaines, IL 60016-4729
Phone
(847) 768-5430
Fax
(847) 768-5389
NPI assigned
Jul 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Richard A Kresch, M.D.
Title
Manager
Phone
(212) 243-5565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

555 Wilson LN
Des Plaines, IL 60016-4729

Mailing address

555 Wilson LN
Des Plaines, IL 60016-4729
Phone (847) 768-5888

Other names 1

  • Chicago Behavioral Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20141208001270 IL Part A Provider - Hospital 2365764024 Practice locations: Des Plaines, IL; Evergreen Park, IL
O20150209001456 IL Part B Supplier - Clinic/Group Practice 2365764024 Receives reassigned benefits from 33 practitioners
Practice locations: Des Plaines, IL; Evergreen Park, IL

Hospital certification: CCN 144040

Legal name
2014 HEALTH LLC
Doing business as
CHICAGO BEHAVIORAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
May 1, 2015
Last certification
Aug 18, 2017
Beds
125
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
555 Wilson LN
Des Plaines, IL 60016-4729
Hospital Psychiatric Unit
Hospital subgroups
Other

Care Compare: Hospital

Medicare Care Compare
Listed as
Chicago Behavioral HospitalCCN 144040
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
2014 Health LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
US Healthvest, LLC Organization, New York, NY LLC, For-profit 5% Or Greater Direct Ownership Interest May 20, 2014 100%
Richard a Kresch Individual 5% Or Greater Indirect Ownership InterestOwner May 20, 2014 15.03%
Corporate DirectorBoard Member May 20, 2014
W-2 Managing EmployeeManager May 20, 2014
James Cha Individual Corporate DirectorBoard Member May 20, 2014
PP VII US Healthvest Inc Organization, Boston, MA Corporation, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Apr 26, 2019 5.81%
PVP US Healthvest, Inc Organization, Boston, MA Corporation, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest May 20, 2014 29.26%
Martina Sze Individual Corporate OfficerSr VP Finance for US Healthwest, May 20, 2014

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 33

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1083021877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 WILSON LN",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164729",
            "telephone_number": "847-768-5888",
            "fax_number": "847-768-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 WILSON LN",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164729",
            "telephone_number": "847-768-5430",
            "fax_number": "847-768-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2014 HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-14",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "KRESCH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "212-243-5565",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chicago Behavioral Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chicago Behavioral Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.