Active NPI
Reestablishing Hope Inc.
Doing business as Reestablishing Hope Inc Laboratory
- Clinical Medical Laboratory
- South Holland, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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, 2025
- Organization subpart
- Yes
- Parent organization
- REESTABLISHING HOPE INC.
NPPES NPI Registry
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, CADC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Laboratory Technician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ========= | Medicaid | IL |
Other names 1
- Reestablishing Hope Inc Laboratory
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2254288 | Reestablishing Hope Inc | Certificate of waiver | Mar 1, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Reestablishing Hope Inc
- 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.
-
- Community/Behavioral Health Agency
- South Holland, IL
- NPI 1235868720
-
dba Rhi
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hazel Crest, IL
- NPI 1528531639
-
- Substance Abuse Rehabilitation Facility
- Hazel Crest, IL
- NPI 1972247310
-
- Community/Behavioral Health Agency
- Gary, IN
- NPI 1154065597
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.
-
- Clinical Social Worker
- South Holland, IL
- NPI 1417420696
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
- Vijaykumar Rao, M.D.
- Rasidi Consulting Associates Inc
- Raw Inc
- Thomas C Reed, LCSW
- Reestablishing Hope Inc
- Refuge Christian Counseling
- Regional Diagnostics, LLC
- Lisa Rembert, PSY.D.
- Rest Haven Illiana Christian Convalescent Home (Providence Healthcare and Rehabilitation Center South Holland)
- Lynn Rhodes, SLP/L
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.