NPIMap

Organization Active NPI

Treatment Alternatives for Safe Communities

Doing business as TASC, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Marion, IL
National Provider Identifier
1740648138
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
A-0637-0041-A Issued in IL
Legal business name
TREATMENT ALTERNATIVES FOR SAFE COMMUNITIES
Doing business as
TASC, Inc.
Practice address
4505 W Deyoung St Ste 100
Marion, IL 62959-5899
Phone
(618) 565-1900
Fax
(618) 565-1900
NPI assigned
Feb 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Authorized official

Name
Mr. Roy Fesmire
Title
Vice President and Cfo
Phone
(312) 787-0208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X A-0637-0041-A IL Primary

Addresses

Primary practice location

4505 W Deyoung St Ste 100
Marion, IL 62959-5899

Mailing address

700 S Clinton St
Chicago, IL 60607-4350
Phone (312) 787-0208

Other identifiers 1

IdentifierTypeStateIssuer
A-0637-0052-AOtherILIDHS LICENSE

Other names 1

  • TASC, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tasc Inc29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

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

View all 28

Locations

4505 W Deyoung St
Ste 100
Marion, IL 62959
Phone (618) 565-1900

NPI Registry JSON

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1740648138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S CLINTON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074350",
            "telephone_number": "312-787-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 W DEYOUNG ST STE 100",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595899",
            "telephone_number": "618-565-1900",
            "fax_number": "618-565-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREATMENT ALTERNATIVES FOR SAFE COMMUNITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-01",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "FESMIRE",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "VICE PRESIDENT AND CFO",
        "authorized_official_telephone_number": "312-787-0208",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "IL",
            "license": "A-0637-0041-A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDHS LICENSE",
            "identifier": "A-0637-0052-A",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TASC, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.