NPIMap

Organization Active NPI

Heartland Banyan, LLC

Doing business as Banyan Heartland

  • Substance Abuse Rehabilitation Facility
  • Gilman, IL
National Provider Identifier
1215404819
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
HEARTLAND BANYAN, LLC
Doing business as
Banyan Heartland
Practice address
1237 E 1600 North Rd
Gilman, IL 60938-6112
Phone
(815) 707-2136
Fax
(815) 707-0241
NPI assigned
Nov 1, 2018
Last updated
Jul 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

Name
Anastasia Nichole Nauman
Title
Contracting and Cred Manager
Phone
(410) 800-8861

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X
Psychiatric Residential Treatment Facility 323P00000X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1237 E 1600 North Rd
Gilman, IL 60938-6112

Mailing address

225 N Federal Hwy
Pompano Beach, FL 33062-4319
Phone (954) 533-7705

Other names 1

  • Banyan Heartland Doing business as

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
14D2158927Heartland Banyan, L L C1237 E 1600 N Road, Gilman, IL 60938Certificate of waiverDec 9, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1215404819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N FEDERAL HWY",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624319",
            "telephone_number": "954-533-7705",
            "fax_number": "954-781-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 E 1600 NORTH RD",
            "city": "GILMAN",
            "state": "IL",
            "postal_code": "609386112",
            "telephone_number": "815-707-2136",
            "fax_number": "815-707-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND BANYAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "NAUMAN",
        "authorized_official_first_name": "ANASTASIA",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "CONTRACTING AND CRED MANAGER",
        "authorized_official_telephone_number": "410-800-8861"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Banyan Heartland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilman, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.