NPIMap

Organization Active NPI

Treatment Alternatives for Safe Communities

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Rockford, IL
National Provider Identifier
1104284587
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
A-0637-0043-A Issued in IL
Legal business name
TREATMENT ALTERNATIVES FOR SAFE COMMUNITIES
Practice address
401 W State St
Rockford, IL 61101-1248
Phone
(815) 965-1106
Fax
(815) 964-5784
NPI assigned
Feb 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Authorized official

Name
Mr. Roy Fesmire
Title
Vice President and Cfo
Phone
(312) 787-0208

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X A-0637-0043-A IL
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X A-0637-0043-A IL Primary

Addresses

Primary practice location

401 W State St
Rockford, IL 61101-1248

Mailing address

700 S Clinton St
Chicago, IL 60607-4350
Phone (312) 787-0208

Other identifiers 1

IdentifierTypeStateIssuer
A-0637-0043-AMedicaidIL

Other names 1

  • TASC, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tasc Inc29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1104284587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S CLINTON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074350",
            "telephone_number": "312-787-0208",
            "fax_number": "312-787-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611011248",
            "telephone_number": "815-965-1106",
            "fax_number": "815-964-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREATMENT ALTERNATIVES FOR SAFE COMMUNITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-01",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "FESMIRE",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "VICE PRESIDENT AND CFO",
        "authorized_official_telephone_number": "312-787-0208",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "A-0637-0043-A",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "IL",
            "license": "A-0637-0043-A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A-0637-0043-A",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TASC, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.