Organization Active NPI

Recovery Bound

  • Case Management Agency
  • Phoenix, IL
National Provider Identifier
1699486357
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
RECOVERY BOUND
Practice address
509 Belle CT
Phoenix, IL 60426-2312
Phone
(708) 310-9109
Fax
(708) 331-4602
NPI assigned
Dec 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Authorized official

Name
Ms. Khalisha Hawkins
Title
Executive Director
Phone
(708) 310-9109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

509 Belle CT
Phoenix, IL 60426-2312

Mailing address

511 Belle CT
Phoenix, IL 60426-2312
Phone (708) 310-9109

Other names 1

  • Recovery Bound Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1699486357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 BELLE CT",
            "city": "PHOENIX",
            "state": "IL",
            "postal_code": "604262312",
            "telephone_number": "708-310-9109",
            "fax_number": "708-331-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 BELLE CT",
            "city": "PHOENIX",
            "state": "IL",
            "postal_code": "604262312",
            "telephone_number": "708-310-9109",
            "fax_number": "708-331-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY BOUND",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "KHALISHA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "708-310-9109",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Recovery Bound",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.