NPIMap

Organization Active NPI

Heartland Human Care Services

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1144511379
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149009534 Issued in IL
Legal business name
HEARTLAND HUMAN CARE SERVICES
Practice address
1525 E Hyde Park Blvd
Chicago, IL 60615-3043
Phone
(773) 624-6148
Fax
(773) 326-0580
NPI assigned
Apr 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Authorized official

Name
Mr. Joseph Antolin
Title
Executive Director
Phone
(312) 660-1341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149009534 IL Primary

Addresses

Primary practice location

1525 E Hyde Park Blvd
Chicago, IL 60615-3043

Mailing address

1525 E Hyde Park Blvd
Chicago, IL 60615-3043
Phone (773) 624-6148

National Provider Directory

National Provider Directory

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": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1144511379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 E HYDE PARK BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606153043",
            "telephone_number": "773-624-6148",
            "fax_number": "773-326-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 E HYDE PARK BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606153043",
            "telephone_number": "773-624-6148",
            "fax_number": "773-326-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND HUMAN CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "ANTOLIN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "312-660-1341",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149009534",
            "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 Apr 21, 2011; 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.