NPIMap

Organization Active NPI

Healthcare Alternative Systems, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Broadview, IL
National Provider Identifier
1790176121
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
12001 Issued in IL
Legal business name
HEALTHCARE ALTERNATIVE SYSTEMS, INC.
Practice address
1915-17 W. Roosevelt Rd.
Broadview, IL 60155
Phone
(708) 334-7089
Fax
(708) 334-5055
NPI assigned
Feb 6, 2015
Last updated
Feb 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Authorized official

Name
Mr. Marco E Jacome, MA, LPC, CAADC, CEAP
Title
Chief Executive Officer
Phone
(773) 252-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 12001 IL Primary

Addresses

Primary practice location

1915-17 W. Roosevelt Rd.
Broadview, IL 60155

Mailing address

4734 W Chicago Ave
Chicago, IL 60651-3322
Phone (773) 252-3100

National Provider Directory

National Provider Directory
Tax ID family
Healthcare Alternative Systems Inc27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

Locations

2755 W Armitage Ave
Chicago, IL 60647
Phone (773) 252-3100

NPI Registry JSON

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1790176121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4734 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606513322",
            "telephone_number": "773-252-3100",
            "fax_number": "773-252-8945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915-17 W. ROOSEVELT RD.",
            "city": "BROADVIEW",
            "state": "IL",
            "postal_code": "60155",
            "telephone_number": "708-334-7089",
            "fax_number": "708-334-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE ALTERNATIVE SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-06",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "JACOME",
        "authorized_official_first_name": "MARCO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "773-252-3100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LPC, CAADC, CEAP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "12001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broadview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.