Active NPI
Jzbe
- Substance Abuse Rehabilitation Facility
- Chicago, IL
National Provider Identifier
1548521990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 005211
- Legal business name
- JZBE
- Practice address
- 2835 N Sheffield Ave
Suite 304
Chicago, IL 60657-5081 - Phone
- (630) 209-7444
- Fax
- (773) 442-0414
- NPI assigned
- Jun 1, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Zacharias, LCSW, CAADC, RDDP
- Title
- President
- Phone
- (773) 720-0068
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 005211 | IL | |
| Substance Abuse Rehabilitation Facility | 324500000X | 005211 | IL | Primary |
Addresses
Primary practice location
2835 N Sheffield Ave
Suite 304
Chicago, IL 60657-5081
Mailing address
2835 N Sheffield Ave
Suite 304
Chicago, IL 60657-5081
Phone (630) 209-7444
Other names 1
- New Hope Recovery Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366329600000",
"number": "1548521990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2835 N SHEFFIELD AVE",
"address_2": "SUITE 304",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575081",
"telephone_number": "630-209-7444",
"fax_number": "773-442-0414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2835 N SHEFFIELD AVE",
"address_2": "SUITE 304",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575081",
"telephone_number": "630-209-7444",
"fax_number": "773-442-0414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JZBE",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-01",
"last_updated": "2013-04-19",
"status": "A",
"authorized_official_last_name": "ZACHARIAS",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-720-0068",
"authorized_official_credential": "LCSW, CAADC, RDDP"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "IL",
"license": "005211",
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "IL",
"license": "005211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "New Hope Recovery Center",
"code": "5",
"type": "Other Name"
}
]
}
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 Apr 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.