Organization Active NPI

Renewed Hope Community Services Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chicago, IL
National Provider Identifier
1184022303
Registry record updated Jul 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
A-3536-0001-A Issued in IL
Legal business name
RENEWED HOPE COMMUNITY SERVICES INC.
Practice address
626 E 71St St
Chicago, IL 60619-1212
Phone
(773) 783-3579
Fax
(773) 783-3592
NPI assigned
Dec 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2017

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

Authorized official

Name
Mr. Michael Idowu Kuye, PH.D, LCSW, CRADC
Title
Exec. V/P of Operations
Phone
(773) 783-3579

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X A-3536-0001-A IL
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X A-3536-0001-A IL Primary

Addresses

Primary practice location

626 E 71St St
Chicago, IL 60619-1212

Mailing address

626 E 71St St
Chicago, IL 60619-1212
Phone (773) 783-3579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200526001739 IL Part B Supplier - Opioid Treatment Program (Otp) 0840611059 Practice locations: Chicago, IL

National Provider Directory

National Provider Directory
Tax ID family
Renewed Hope Community Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

626 E 71st St
#11
Chicago, IL 60619

626 E 71st St
Chicago, IL 60619
Phone (773) 783-3579

Practitioners & affiliated clinicians

Practitioners 1

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": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500422400000",
    "number": "1184022303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 E 71ST ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606191212",
            "telephone_number": "773-783-3579",
            "fax_number": "773-783-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 E 71ST ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606191212",
            "telephone_number": "773-783-3579",
            "fax_number": "773-783-3592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED HOPE COMMUNITY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2017-07-19",
        "status": "A",
        "authorized_official_last_name": "KUYE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "IDOWU",
        "authorized_official_title_or_position": "EXEC. V/P OF OPERATIONS",
        "authorized_official_telephone_number": "773-783-3579",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH.D, LCSW, CRADC"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "IL",
            "license": "A-3536-0001-A",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "IL",
            "license": "A-3536-0001-A",
            "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 Jul 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.