Way Back Inn

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

A-0388-0009-A Issued in IL

Legal business name

WAY BACK INN

Practice address

104 Oak St.
Maywood, IL 60153

Phone

(708) 344-3301

Fax

(708) 344-2944

NPI assigned

May 17, 2011

Last updated

Aug 23, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Anita Maria Pindiur, MS, LCPCNPI 1710239678

Title

Executive Director

Phone

(708) 344-3301

Specialties & licenses 14

Addresses

Other identifiers 2

Tax ID family

Way Back Inn5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Way Back Inn

  • Addiction (Substance Use Disorder) Counselor
  • Maywood, IL
  • NPI 1093060741
  NPD tax ID
• Way Back Inn

  • Substance Abuse Rehabilitation Facility
  • Maywood, IL
  • NPI 1467839803
  NPD tax ID
• Way Back Inn

  • Substance Abuse Rehabilitation Facility
  • Maywood, IL
  • NPI 1902283344
  NPD tax ID
• Way Back Inn

  • Substance Abuse Rehabilitation Facility
  • Oak Park, IL
  • NPI 1962880211
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anita Maria Pindiur, M.S.

  • Addiction (Substance Use Disorder) Counselor
  • Maywood, IL
  • NPI 1710239678
  NPD (past) Authorized official

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1730472275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 OAK ST.",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "60153",
            "telephone_number": "708-344-3301",
            "fax_number": "708-344-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 OAK ST.",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "60153",
            "telephone_number": "708-344-3301",
            "fax_number": "708-344-2944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAY BACK INN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-17",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "PINDIUR",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "708-344-3301",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "A-0388-0008-A",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "A-0388-0011-A",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "A-0388-0002-A",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "A-0388-0010-A",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "A-0388-0004-A",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "A-0388-0009-A",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "IL",
            "license": "A-0388-0007-A",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "IL",
            "license": "A-0388-0008-A",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "IL",
            "license": "A-0388-0001-A",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "IL",
            "license": "A-0388-0004-A",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "IL",
            "license": "A-0388-0009-A",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "IL",
            "license": "A-0388-0010-A",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "IL",
            "license": "A-0388-0011-A",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "IL",
            "license": "A-0388-0002-A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS-DASA",
            "identifier": "A-0388-0002-A",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C-A-0388-0002-A",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Przemyslaw Warszewski, MD
• Lauren Elise Watchmaker
• Nattanicha Wattananimitgul
• Way Back Inn
• Way Back Inn
• Way Back Inn
• Azra Wazir, DO
• Colleen Mary Webb, PA-C
• Ashley Nicole Wehrheim
• Clare Marie Weingarz

• Substance Abuse Rehabilitation Facility in Maywood, IL
• Providers in Maywood, 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 23, 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.