Organization Active NPI

Henry'S Sober Living House

  • Adult Mental Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1720534100
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
HENRY'S SOBER LIVING HOUSE
Practice address
8032 S Ingleside Ave
Chicago, IL 60619-4223
Phone
(773) 752-1300
Fax
(773) 752-1302
NPI assigned
Aug 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Henry D. McGhee Jr.
Title
Executive Director
Phone
(773) 752-1300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

8032 S Ingleside Ave
Chicago, IL 60619-4223

Mailing address

8032 S Ingleside Ave
Chicago, IL 60619-4223
Phone (773) 752-1300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1720534100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8032 S INGLESIDE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606194223",
            "telephone_number": "773-752-1300",
            "fax_number": "773-752-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8032 S INGLESIDE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606194223",
            "telephone_number": "773-752-1300",
            "fax_number": "773-752-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY'S SOBER LIVING HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-26",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "MCGHEE",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "773-752-1300",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.