Active NPI
Genuine Hearts Behavioral Services LLC
- Community/Behavioral Health Agency
- Chicago, IL
National Provider Identifier
1104230077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 04826191
- Legal business name
- GENUINE HEARTS BEHAVIORAL SERVICES LLC
- Practice address
- 400 W 76TH St
Unit 216a
Chicago, IL 60620-1640 - Phone
- (872) 207-5028
- NPI assigned
- Jun 18, 2014
- 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
- Gladys Lang
- Title
- Manager
- Phone
- (872) 207-5028
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 04826191 | IL | Primary |
Addresses
Primary practice location
400 W 76TH St
Unit 216a
Chicago, IL 60620-1640
Mailing address
400 W 76TH St
Unit 216a
Chicago, IL 60620-1640
Phone (872) 207-5028
National Provider Directory
National Provider DirectoryLocations
400 W 76th St
Ste 216A
Chicago, IL 60620
Phone (708) 446-8183
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Chicago, IL
- NPI 1003235342
-
- Behavior Analyst
- Chicago, IL
- NPI 1235558610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1403049600000",
"number": "1104230077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W 76TH ST",
"address_2": "UNIT 216A",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606201640",
"telephone_number": "872-207-5028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W 76TH ST",
"address_2": "UNIT 216A",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606201640",
"telephone_number": "872-207-5028"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENUINE HEARTS BEHAVIORAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-18",
"last_updated": "2014-06-18",
"status": "A",
"authorized_official_last_name": "LANG",
"authorized_official_first_name": "GLADYS",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "872-207-5028"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "IL",
"license": "04826191",
"primary": true
}
],
"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 Jun 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.