NPIMap

Organization Active NPI

New Hope Community Service Center

  • Methadone Clinic
  • Chicago, IL
National Provider Identifier
1497272884
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
NEW HOPE COMMUNITY SERVICE CENTER
Practice address
2559 W 79TH St
Chicago, IL 60652-1751
Phone
(773) 737-9555
Fax
(773) 737-0401
NPI assigned
Aug 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Authorized official

Name
Mrs. Brenda J Golden, MHS/MAC/CAADC/MAATPNPI 1649794736
Title
Executive Director
Phone
(773) 737-9555

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

2559 W 79TH St
Chicago, IL 60652-1751

Mailing address

2559 W 79TH St
Chicago, IL 60652-1751
Phone (773) 737-9555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Opioid treatment program
Medicare-enrolled since Aug 8, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201218001890 IL Part B Supplier - Opioid Treatment Program (Otp) 9032535554 Practice locations: Chicago, IL

National Provider Directory

National Provider Directory
Tax ID family
New Hope Community Serv Ctr9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1497272884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2559 W 79TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606521751",
            "telephone_number": "773-737-9555",
            "fax_number": "773-737-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2559 W 79TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606521751",
            "telephone_number": "773-737-9555",
            "fax_number": "773-737-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HOPE COMMUNITY SERVICE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "773-737-9555",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MHS/MAC/CAADC/MAATP"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.