Organization Active NPI

Reestablishing Hope Inc.

Doing business as Reestablishing Hope Inc Laboratory

  • Clinical Medical Laboratory
  • South Holland, IL
National Provider Identifier
1427796283
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
REESTABLISHING HOPE INC.
Doing business as
Reestablishing Hope Inc Laboratory
Practice address
17050 South Park Ave South Holland Il
South Holland, IL 60473
Phone
(815) 418-6577
NPI assigned
May 23, 2022
Last updated
Aug 6, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
REESTABLISHING HOPE INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Authorized official

Name
Mary A Camper, DD, PSYD, LCSW, CADCNPI 1417420696
Title
Ceo
Phone
(815) 418-6577

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
Medical Laboratory TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 246RM2200X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

17050 South Park Ave South Holland Il
South Holland, IL 60473

Mailing address

3850 Dewey Ave
Richton Park, IL 60471-2563
Phone (815) 418-6577

Other practice location 1

17577 Kedzie Ave
Hazel Crest, IL 60429-2051
Phone (815) 418-6577

Other identifiers 1

IdentifierTypeStateIssuer
=========MedicaidIL

Other names 1

  • Reestablishing Hope Inc Laboratory 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
14D2254288Reestablishing Hope Inc17577 S Kedzie Ave, Hazel Crest, IL 60429Certificate of waiverMar 1, 2028

National Provider Directory

National Provider Directory
Tax ID family
Reestablishing Hope Inc5 organizations share this tax ID, including this one
Part of
Reestablishing Hope Inc

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

17050 S Park Ave
South Holland, IL 60473
Phone (815) 418-6577

Practitioners & affiliated clinicians

Practitioners 1

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": "1653264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1427796283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 DEWEY AVE",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604712563",
            "telephone_number": "815-418-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17050 SOUTH PARK AVE SOUTH HOLLAND IL",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "60473",
            "telephone_number": "815-418-6577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17577 Kedzie Ave",
            "address_purpose": "LOCATION",
            "city": "Hazel Crest",
            "state": "IL",
            "postal_code": "604292051",
            "country_code": "US",
            "telephone_number": "815-418-6577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REESTABLISHING HOPE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REESTABLISHING HOPE INC.",
        "enumeration_date": "2022-05-23",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "CAMPER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "815-418-6577",
        "authorized_official_credential": "DD, PSYD, LCSW, CADC"
    },
    "taxonomies": [
        {
            "code": "246RM2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "=========",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reestablishing Hope Inc Laboratory",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Reestablishing Hope Inc Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Holland, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.