Organization Active NPI

Hendrickson House of Sobriety LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Cicero, IL
National Provider Identifier
1124988480
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2341718Hendrickson House of Sobriety LLC2901 S 49TH Ave, Cicero, IL 60804Certificate of waiverApr 6, 2028

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.