Organization Active NPI

Hope for Recovery Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Homer Glen, IL
National Provider Identifier
1295375673
Registry record updated Jul 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
HOPE FOR RECOVERY INC
Practice address
15750 S Bell Rd Ste 1a
Homer Glen, IL 60491-8420
Phone
(855) 223-4673
Fax
(408) 228-0891
NPI assigned
Jan 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2020

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

Authorized official

Name
Terry Lee D'Amico, LCPCNPI 1083883870
Title
Ceo
Phone
(855) 223-4673

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

15750 S Bell Rd Ste 1a
Homer Glen, IL 60491-8420

Mailing address

15750 S Bell Rd Ste 1a
Homer Glen, IL 60491-8420
Phone (855) 223-4673

National Provider Directory

National Provider Directory

Locations

15750 S Bell Rd
Ste 1A
Homer Glen, IL 60491
Phone (855) 223-4673

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": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595116800000",
    "number": "1295375673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15750 S BELL RD STE 1A",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604918420",
            "telephone_number": "855-223-4673",
            "fax_number": "408-228-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15750 S BELL RD STE 1A",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604918420",
            "telephone_number": "855-223-4673",
            "fax_number": "408-228-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE FOR RECOVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-07-19",
        "certification_date": "2020-07-19",
        "status": "A",
        "authorized_official_last_name": "D'AMICO",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "855-223-4673",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer Glen, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2020; 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.