BHS of Illinois LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

BHS OF ILLINOIS LLC

Practice address

1237 E 1600 North Rd
Gilman, IL 60938-6112

Phone

(815) 707-2121

NPI assigned

Feb 13, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Edward Donahue

Title

Cfo and Authorized Officail

Phone

(928) 668-4232

Specialties & licenses 1

Addresses

Other names 1

• Sunspire Health Heartland Doing business as

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538611200000",
    "number": "1972994804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19820 N 7TH STREET",
            "address_2": "SUITE 205, ATTN FINANCE DEPT",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850241688",
            "telephone_number": "928-684-4039",
            "fax_number": "623-581-7624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 E 1600 NORTH RD",
            "city": "GILMAN",
            "state": "IL",
            "postal_code": "609386112",
            "telephone_number": "815-707-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHS OF ILLINOIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-13",
        "last_updated": "2018-10-04",
        "status": "A",
        "authorized_official_last_name": "DONAHUE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CFO AND AUTHORIZED OFFICAIL",
        "authorized_official_telephone_number": "928-668-4232",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunspire Health Heartland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunspire Health Heartland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Haley Marie Benner, M.S. CCC-SLP/L
• BHS Physician Services of Illinois PC
• Stephanie Nicole Bollino, PTA
• Compass Health Systems of Illinois, Inc
• Naran P Dodia, MD
• Nicole Lynn Fatka

• Substance Abuse Rehabilitation Facility in Gilman, IL
• Providers in Gilman, IL by specialty
• Substance Abuse Rehabilitation Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.