Holy Cross Hospital
Organization Active NPI Substance Abuse Rehabilitation Facility · Chicago, IL
NPI 1821840828 · NPPES record last updated Apr 3, 2024
Key facts
- NPI
- 1821840828
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- Legal business name
- HOLY CROSS HOSPITAL
- Practice address
- 2701 W 68TH St
Chicago, IL 60629-1882 - Phone
- (773) 884-9000
- NPI assigned
- Apr 3, 2024
- Organization subpart
- No
Authorized official
- Name
- Dimas Ortega
- Title
- VP Finance
- Phone
- (737) 257-2937
Other NPIs on the same Medicare enrollment 3
Corporate family (same tax ID) 3
Affiliated clinicians 187
-
Ashraf H Abourahma, M.D.
-
Muhammad Ahmad, M.D.
-
Aziz Ahmed, M.D.
-
Rizwan Ahmed, D.O
-
Viquar U Ahmed, P.A.-C
-
Zain Bin Ahsan, DO
-
Mark Joseph Anderson, M.D.
-
Robert J Andina, M.D.
-
Alex Roy Arias, PA-C
-
Deepak Ariga, MD
-
Wadah Atassi, MD
-
Teia L Atwood, NP-C
-
Brennan Barrett, D.O.
-
Glenn A. T. Beard, M. D.
-
Anuj Behal, MD
-
Daniel Berger, M.D.
-
Angel Bermudez, M.D.
-
Mateo M Betanzos, FNP/BC
-
Tomasz Marian Budz, DPM
-
Kelly Canerday, FNP-BC
Medicare Care Compare: Hospital
- Listed as
- Holy Cross Hospital
- Overall star rating
- ★★☆☆☆ 2 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Hospital certification: CCN 140133
- Legal name
- HOLY CROSS HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Sep 11, 2020
- Beds
- 311
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Oct 10, 1929 in IL
- Enrollment address
- 2701W 68TH St
Chicago, IL 60629-1882 - Hospital subgroups
- General, Acute care, Rehabilitation unit
All disclosed owners & managing parties 6
| Name | Role | Since | Share |
|---|---|---|---|
| Abraham C Morgan |
Corporate Director |
Jan 16, 2013 | |
| Bret R Maxwell |
Corporate Director |
Jan 15, 2013 | |
| Anne Donnelly Cohn |
Corporate Director |
Apr 10, 2013 | |
| Christopher Stephens |
W-2 Managing Employee |
Mar 15, 2015 | |
| Sinai Health System |
Operational/Managerial Control | Jan 16, 2013 | 100% |
| Dimas Ortega |
Corporate Officer |
Dec 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071121000030 | IL | Part a Provider - Hospital | 3274518832 |
3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Chicago, IL |
National Provider Directory
- Tax ID family
- Holy Cross Hosp House P
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Yes |
Addresses
Primary practice location
2701 W 68TH St
Chicago, IL 60629-1882
Mailing address
PO Box 2166
Bedford Park, IL 60499-2166
Phone (773) 884-9000
Other providers in Chicago, IL
- Holy Cross Hospital
- Holy Cross Hospital
- Holy Cross Hospital
- Holy Cross Hospital
- Holy Cross Hospital
- Holy Cross Hospital
- Holy Cross Hospital
- Lori Holyfield
- Alina J Holyk
- Hadassa Holzapfel
All providers in Chicago, IL · Substance Abuse Rehabilitation Facility in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.