Organization Active NPI

Genuine Hearts Behavioral Services LLC

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1104230077
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
04826191 Issued in IL
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

Updated by the provider on Jun 18, 2014

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.