Active NPI
Hendrickson House of Sobriety LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Cicero, IL
National Provider Identifier
1124988480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- HENDRICKSON HOUSE OF SOBRIETY LLC
- Practice address
- 2901 S 49TH Ave
Cicero, IL 60804-3634 - Phone
- (464) 927-9879
- NPI assigned
- Nov 17, 2025
- Last updated
- Jun 4, 2026
- 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
- Steve Hendrickson
- Title
- Owner
- Phone
- (612) 685-4958
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | NU | Primary |
Addresses
Primary practice location
2901 S 49TH Ave
Cicero, IL 60804-3634
Mailing address
4949 N Normandy Ave
Chicago, IL 60656-4001
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2341718 | Hendrickson House of Sobriety LLC | Certificate of waiver | Apr 6, 2028 |
National Provider Directory
National Provider DirectoryLocations
2901 S 49th Ave
Cicero, IL 60804
Phone (464) 927-9879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763337600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780531200000",
"number": "1124988480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4949 N NORMANDY AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606564001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 S 49TH AVE",
"city": "CICERO",
"state": "IL",
"postal_code": "608043634",
"telephone_number": "464-927-9879"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENDRICKSON HOUSE OF SOBRIETY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-17",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A",
"authorized_official_last_name": "HENDRICKSON",
"authorized_official_first_name": "STEVE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "612-685-4958"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cicero, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.