Resurrection Health Care

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

261QM08O1X Issued in IL

Legal business name

RESURRECTION HEALTH CARE

Practice address

1414 Main St
Melrose Park, IL 60160-3902

Phone

(708) 681-0073

NPI assigned

Dec 1, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Reuben Hurd, BA

Title

Behavioral Health Tech

Phone

(708) 681-0073

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1245507573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 MAIN ST.",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601234",
            "telephone_number": "708-681-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 MAIN ST",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601603902",
            "telephone_number": "708-681-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURRECTION HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "HURD",
        "authorized_official_first_name": "REUBEN",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH TECH",
        "authorized_official_telephone_number": "17086810073",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "261QM08O1X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Resurrection Behavioral Health
• Resurrection Behavioral Health
• Resurrection Behavioral Health
• Resurrection Health Care
• Resurrection Health Care
• Resurrection Health Care
• Resurrection Healthcare
• Resurrection Services
• Resurrection Services
• Resurrection Westlake Hospital

• Mental Health Clinic/Center (Including Community Mental Health Center) in Melrose Park, IL
• Providers in Melrose Park, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.