NPIMap

Organization Active NPI

Chesntut Health Systems, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Belleville, IL
National Provider Identifier
1649558792
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
04023 Issued in IL
Legal business name
CHESNTUT HEALTH SYSTEMS, INC.
Practice address
20 Kensington Heights Rd
Belleville, IL 62226-5007
Phone
(618) 234-4429
NPI assigned
Jul 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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

Authorized official

Name
Mr. Alan Sender
Title
C.O.O.
Phone
(618) 877-4420

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 04023 IL
Community/Behavioral Health Agency 251S00000X 04023 IL
Mental Illness Community Based Residential Treatment Facility 320800000X 04023 IL Primary

Addresses

Primary practice location

20 Kensington Heights Rd
Belleville, IL 62226-5007

Mailing address

20 Kensington Heights Rd
Belleville, IL 62226-5007
Phone (618) 234-4429

National Provider Directory

National Provider Directory
Tax ID family
Chestnut Health Systems Inc44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

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

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311292800000",
    "number": "1649558792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 KENSINGTON HEIGHTS RD",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265007",
            "telephone_number": "618-234-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 KENSINGTON HEIGHTS RD",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265007",
            "telephone_number": "618-234-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESNTUT HEALTH SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-22",
        "last_updated": "2011-07-22",
        "status": "A",
        "authorized_official_last_name": "SENDER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "C.O.O.",
        "authorized_official_telephone_number": "618-877-4420",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "IL",
            "license": "04023",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "04023",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "IL",
            "license": "04023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; 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.