Active NPI
Hope for Recovery Inc
- Substance Use Disorder Rehabilitation Clinic/Center
- Homer Glen, IL
National Provider Identifier
1295375673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Terry Lee D'Amico, LCPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Professional Counselor
- Homer Glen, IL
- NPI 1083883870
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.