Active NPI
Recovery Bound
- Case Management Agency
- Phoenix, IL
National Provider Identifier
1699486357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.