Active NPI
Elite Houses of Sober Living,Inc.
Doing business as elite treatment center
- Community/Behavioral Health Agency
- Chicago Heights, IL
National Provider Identifier
1972752392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- A-4780-00055-A
- Legal business name
- ELITE HOUSES OF SOBER LIVING,INC.
- Doing business as
- elite treatment center
- Practice address
- 395 W Lincoln Hwy
Chicago Heights, IL 60411-2442 - Phone
- (708) 755-5117
- Fax
- (708) 755-5404
- NPI assigned
- Sep 10, 2008
- Last updated
- Sep 10, 2008
- Organization subpart
- Yes
- Parent organization
- ELITE HOUSES OF SOBER LIVING, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Albert Ellis III, CADC; NCRS;MISA 1
- Title
- President
- Phone
- (312) 515-3092
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Augmentative Communication Clinic/Center | 261QA3000X | A-4780-0005-A | IL | |
| Adult Mental Health Clinic/Center | 261QM0850X | A-4780-0005-A | IL | |
| Community/Behavioral Health Agency | 251S00000X | A-4780-00055-A | IL | Primary |
Addresses
Primary practice location
395 W Lincoln Hwy
Chicago Heights, IL 60411-2442
Mailing address
395 W Lincoln Hwy
PO. Box 2122
Chicago Heights, IL 60411-2442
Phone (708) 755-5117
Other names 1
- elite treatment center
National Provider Directory
National Provider Directory- Part of
- Elite Houses of Sober Livinginc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221004800000",
"number": "1972752392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "395 W LINCOLN HWY",
"address_2": "PO. BOX 2122",
"city": "CHICAGO HEIGHTS",
"state": "IL",
"postal_code": "604112442",
"telephone_number": "708-755-5117",
"fax_number": "708-755-5404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 W LINCOLN HWY",
"city": "CHICAGO HEIGHTS",
"state": "IL",
"postal_code": "604112442",
"telephone_number": "708-755-5117",
"fax_number": "708-755-5404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE HOUSES OF SOBER LIVING,INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ELITE HOUSES OF SOBER LIVING, INC.",
"enumeration_date": "2008-09-10",
"last_updated": "2008-09-10",
"status": "A",
"authorized_official_last_name": "ELLIS",
"authorized_official_first_name": "ALBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "312-515-3092",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "CADC; NCRS;MISA 1"
},
"taxonomies": [
{
"code": "261QA3000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Augmentative Communication",
"state": "IL",
"license": "A-4780-0005-A",
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "IL",
"license": "A-4780-0005-A",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "IL",
"license": "A-4780-00055-A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "elite treatment center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Chicago Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.