Guildhaus

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

A-0991-0004-A Issued in IL

Legal business name

GUILDHAUS

Practice address

13315 Olde Western Ave
Blue Island, IL 60406-2921

Phone

(708) 926-9627

NPI assigned

Apr 28, 2016

Organization subpart

Yes

Parent organization

GUILDHAUSAs reported in NPPES

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

Authorized official

Name

Mr. Kevin Patrick Lavin

Title

Executive Director

Phone

(708) 385-3228

Specialties & licenses 1

Addresses

Tax ID family

Guildhaus2 organizations share this tax ID, including this one

Part of

Guildhaus

Other organizations with this tax ID 1

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

• Guildhaus

  • Substance Abuse Rehabilitation Facility
  • Blue Island, IL
  • NPI 1689890287
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Guildhaus

  • Substance Abuse Rehabilitation Facility
  • Blue Island, IL
  • NPI 1689890287
  NPPES parent name

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1669827580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13315 OLDE WESTERN AVE",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604062921",
            "telephone_number": "708-926-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13315 OLDE WESTERN AVE",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604062921",
            "telephone_number": "708-926-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILDHAUS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUILDHAUS",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "LAVIN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "708-385-3228",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "A-0991-0004-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Sue Gordon, DDS
• Randall Jay Gordon, MD
• Cynthia Grady
• Jasmine Gregorio
• Chantae Griffin, LCPC
• Guildhaus
• Anne Guinane, RD, LDN
• Latriese Guyton, R.N.
• H & H Transportation Service for the Aging Inc
• Colin M Haley, D.D.S.

• Community/Behavioral Health Agency in Blue Island, IL
• Providers in Blue Island, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.