NPIMap

Organization Active NPI

Grand Prairie Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chicago Heights, IL
National Provider Identifier
1487109864
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
GRAND PRAIRIE SERVICES
Practice address
450 W 14TH St
Chicago Heights, IL 60411-2463
Phone
(708) 985-3040
Fax
(708) 474-8144
NPI assigned
Aug 16, 2016
Last updated
Sep 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Authorized official

Name
Sharronne WardNPI 1902123516
Title
President and Ceo
Phone
(708) 444-1012

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

450 W 14TH St
Chicago Heights, IL 60411-2463

Mailing address

17746 Oak Park Ave
Tinley Park, IL 60477-3936
Phone (708) 444-1012

Other practice location 1

19400 N Creek Dr
Lynwood, IL 60411-9608
Phone (708) 444-1012

National Provider Directory

National Provider Directory
Tax ID family
Grand Prairie Services21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

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": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537833600000",
    "number": "1487109864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17746 OAK PARK AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773936",
            "telephone_number": "708-444-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W 14TH ST",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604112463",
            "telephone_number": "708-985-3040",
            "fax_number": "708-474-8144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19400 N Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Lynwood",
            "state": "IL",
            "postal_code": "604119608",
            "country_code": "US",
            "telephone_number": "708-444-1012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRAND PRAIRIE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-16",
        "last_updated": "2018-09-25",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "SHARRONNE",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "708-444-1012"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.