House of Hearts Cila LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

HOUSE OF HEARTS CILA LLC

Practice address

2111 121St St
Blue Island, IL 60406-1201

Phone

(773) 499-4062

NPI assigned

Aug 2, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Marvin Coklow

Title

Cfo

Phone

(773) 597-7698

Specialties & licenses 1

Addresses

Tax ID family

House of Hearts Cila LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• House of Hearts Cila LLC

  • Adult Mental Health Clinic/Center
  • Blue Island, IL
  • NPI 1326720145
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristen Sardin

  • Non-emergency Medical Transport (VAN)
  • Blue Island, IL
  • NPI 1588223614
  NPD

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1982386702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 121ST ST",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604061201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 121ST ST",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604061201",
            "telephone_number": "773-499-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF HEARTS CILA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "COKLOW",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "773-597-7698",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Hofman, LCSW
• Edwin Earl Hollins, MD
• Hope Medical SC
• Carrie Hosteny
• House of Hearts Cila LLC
• Hunters Healthcare Services and Delivery Limited
• I Can Hear U Now Inc
• Abbas M.B Ibrahim Sr.
• Illinois/Indiana Em-I Medical Services, S.C.
• Jill C Ingelse, O.D.

• Substance Use Disorder Rehabilitation Clinic/Center in Blue Island, IL
• Providers in Blue Island, IL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.