Organization Active NPI

Elegance Recovery House

  • Lodging Provider
  • Chicago, IL
National Provider Identifier
1639041429
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lodging ProviderTaxonomy code 177F00000X
Legal business name
ELEGANCE RECOVERY HOUSE
Practice address
900 S Clark St
Chicago, IL 60605-3679
Phone
(312) 324-4991
NPI assigned
Sep 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Dyra Holt
Title
President
Phone
(630) 328-3709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lodging Provider 177F00000X Primary

Addresses

Primary practice location

900 S Clark St
Chicago, IL 60605-3679

Mailing address

422 W Wall St
Worden, IL 62097-1242

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1639041429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 W WALL ST",
            "city": "WORDEN",
            "state": "IL",
            "postal_code": "620971242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053679",
            "telephone_number": "312-324-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEGANCE RECOVERY HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "DYRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-328-3709"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 29, 2025; 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.