NPIMap

Organization Active NPI

Healing Hands Resource Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Calumet City, IL
National Provider Identifier
1730620642
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HEALING HANDS RESOURCE CENTER
Practice address
400 River Oaks Dr
Calumet City, IL 60409-5832
Phone
(773) 467-6967
Fax
(773) 572-9553
NPI assigned
Mar 10, 2017
Last updated
Nov 25, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALING HANDS RESOURCE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Authorized official

Name
Valencia Green, MD, MPH
Title
Ceo
Phone
(773) 467-6967

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

400 River Oaks Dr
Calumet City, IL 60409-5832

Mailing address

1022 N Kedzie Ave
Chicago, IL 60651-4128
Phone (773) 467-6967

Other names 1

  • Healing Hands Resource Center Joliet Other name

National Provider Directory

National Provider Directory
Tax ID family
Healing Hands Resource Center11 organizations share this tax ID, including this one
Part of
Healing Hands Resource Center

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1730620642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 N KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606514128",
            "telephone_number": "773-467-6967",
            "fax_number": "773-572-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 RIVER OAKS DR",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604095832",
            "telephone_number": "773-467-6967",
            "fax_number": "773-572-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HANDS RESOURCE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALING HANDS RESOURCE CENTER",
        "enumeration_date": "2017-03-10",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "VALENCIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-467-6967",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Hands Resource Center Joliet",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Calumet City, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.