Organization Active NPI

RL Group

Doing business as Reinvent Life Treatment Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chicago, IL
National Provider Identifier
1376102814
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
RL GROUP
Doing business as
Reinvent Life Treatment Center
Practice address
2008 N Lawler Ave
Chicago, IL 60639-3136
Phone
(708) 860-1201
Fax
(708) 221-6679
NPI assigned
Jun 9, 2019
Last updated
Nov 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Authorized official

Name
Ms. Lynn Fields Tyler
Title
Manager
Phone
(708) 860-1201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

2008 N Lawler Ave
Chicago, IL 60639-3136

Mailing address

511 Manistee Ave
Calumet City, IL 60409-3311
Phone (708) 860-1201

Other identifiers 3

IdentifierTypeStateIssuer
20191009481556MedicaidIL
A-2560-0001-AOtherILSTATE OF ILLINOIS LEVEL 1 AND 2 LICENSE
F100604483OtherILMEDICARE

Other names 1

  • Reinvent Life Treatment Center Doing business as

National Provider Directory

National Provider Directory

Locations

2008 N Lawler Ave
Chicago, IL 60639
Phone (312) 837-3335

Practitioners & affiliated clinicians

Practitioners 2

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": "1560038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1376102814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 MANISTEE AVE",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604093311",
            "telephone_number": "708-860-1201",
            "fax_number": "708-221-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 N LAWLER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606393136",
            "telephone_number": "708-860-1201",
            "fax_number": "708-221-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-09",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "FIELDS TYLER",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "708-860-1201",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20191009481556",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILLINOIS LEVEL 1 AND 2 LICENSE",
            "identifier": "A-2560-0001-A",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "F100604483",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reinvent Life Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Reinvent Life Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

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