Active NPI
Renewed Hope Community Services Inc.
- Substance Use Disorder Rehabilitation Clinic/Center
- Chicago, IL
National Provider Identifier
1184022303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- License
- A-3536-0001-A
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Chicago, IL
- NPI 1265979694
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.
-
- Family Medicine Physician
- Chicago, IL
- NPI 1538179379
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
- Renewal Life Community Development Corporation
- Renewal Life Community Development Corporation
- Renewal Therapy PLLC
- Renewed Body Chiropractic & Wellness Center LLC
- Renewed Hope Community Services
- Renewed Mind Counseling LLC
- Renewed Minds Counseling & Consulting Services LLC
- Renewed Minds Therapy & Wellness LLC
- Renewed Power Inc
- Renewed Rhythms Psychology PLLC
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.