Guildhaus

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

A09910002A Issued in IL

Legal business name

GUILDHAUS

Practice address

2413 Canal St
Blue Island, IL 60406-2926

Phone

(708) 385-3228

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Frank Tovar

Title

Executive Director

Phone

(708) 385-3228

Specialties & licenses 1

Addresses

Tax ID family

Guildhaus2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Guildhaus

  • Community/Behavioral Health Agency
  • Blue Island, IL
  • NPI 1669827580
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Guildhaus

  • Community/Behavioral Health Agency
  • Blue Island, IL
  • NPI 1669827580
  NPPES parent name

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689890287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 CANAL ST",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604062926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 CANAL ST",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604062926",
            "telephone_number": "708-385-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILDHAUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOVAR",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "708-385-3228",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "IL",
            "license": "A09910002A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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.
• Jenay Harrington

• Substance Abuse Rehabilitation Facility in Blue Island, IL
• Providers in Blue Island, IL by specialty
• Substance Abuse Rehabilitation Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.