Specialized Assistance Services, NFP

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SPECIALIZED ASSISTANCE SERVICES, NFP

Practice address

333 W Evergreen St
Manteno, IL 60950

Phone

(312) 808-3218

Fax

(312) 791-9037

NPI assigned

Jan 27, 2016

Organization subpart

No

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

Authorized official

Name

Belinda Moreno

Title

VP Finance & Administration

Phone

(312) 808-3218

Specialties & licenses 4

Addresses

Tax ID family

Specialized Assistance Services NFP3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Specialized Assistance Services, NFP

  • Methadone Clinic
  • Manteno, IL
  • NPI 1427592013
  NPD tax ID
• Specialized Assistance Services, NFP

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chicago, IL
  • NPI 1992973689
  NPD tax ID

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533859200000",
    "number": "1710344338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 S WABASH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162825",
            "telephone_number": "312-808-3218",
            "fax_number": "312-791-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W EVERGREEN ST",
            "city": "MANTENO",
            "state": "IL",
            "postal_code": "60950",
            "telephone_number": "312-808-3218",
            "fax_number": "312-791-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED ASSISTANCE SERVICES, NFP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2018-08-10",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_title_or_position": "VP FINANCE & ADMINISTRATION",
        "authorized_official_telephone_number": "312-808-3218"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "IL",
            "license": "A-0584-0004-A",
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "IL",
            "license": "A-0584-0002-A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael W Sample, DC
• Claire Sanders, O.D.
• Serenity Group Living LLC
• William Henry Slavin IV, DDS
• Specialized Assistance Services, NFP
• Melissa Dawn Spinazzola, B.A.
• Pam St. Aubin
• Cynthia Staples
• Steven J Kelley, LCSW, LLC
• Jordan Stroud

• Substance Abuse Rehabilitation Facility in Manteno, IL
• Providers in Manteno, 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 10, 2018; 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.