Active NPI
Specialized Assistance Services, NFP
- Substance Use Disorder Rehabilitation Clinic/Center
- Chicago, IL
National Provider Identifier
1992973689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- SPECIALIZED ASSISTANCE SERVICES, NFP
- Practice address
- 2630 S. Wabash
Chicago, IL 60616 - Phone
- (312) 808-3218
- Fax
- (312) 791-9037
- NPI assigned
- Feb 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Belinda Moreno
- Title
- VP Finance & Administration
- Phone
- (312) 808-3218
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | A-0584-0001A | IL | |
| Methadone Clinic | 261QM2800X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary | ||
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X |
Addresses
Primary practice location
2630 S. Wabash
Chicago, IL 60616
Mailing address
2630 S. Wabash
Chicago, IL 60616
Phone (312) 808-3218
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A-0584-0002-A | Medicaid | IL |
National Provider Directory
National Provider Directory- Tax ID family
- Specialized Assistance Services NFP
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Methadone Clinic
- Manteno, IL
- NPI 1427592013
-
- Substance Abuse Rehabilitation Facility
- Manteno, IL
- NPI 1710344338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534464000000",
"number": "1992973689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2630 S. WABASH",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60616",
"telephone_number": "312-808-3218",
"fax_number": "312-791-9037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2630 S. WABASH",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60616",
"telephone_number": "312-808-3218",
"fax_number": "312-791-9037"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECIALIZED ASSISTANCE SERVICES, NFP",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-14",
"last_updated": "2018-08-17",
"status": "A",
"authorized_official_last_name": "MORENO",
"authorized_official_first_name": "BELINDA",
"authorized_official_title_or_position": "VP FINANCE & ADMINISTRATION",
"authorized_official_telephone_number": "312-808-3218"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "IL",
"license": "A-0584-0001A",
"primary": false
},
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
},
{
"code": "276400000X",
"taxonomy_group": "",
"desc": "Rehabilitation, Substance Use Disorder Unit",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A-0584-0002-A",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Special Therapy Care, Chartered
- Special Therapy Care, Inc.
- Specialized Assessilng Systems Institute, Corp (SASI Corp)
- Specialized Assessing Systems Institute, Corp (SASI, Elwood P Nyther)
- Specialized Assistance Recovery LLC
- Specialized Forensic Unit PC
- Specialized Health Care Services Inc.
- Specialized Healthcare Services Inc
- Specialized Medical Care, LLC
- Specialized PT PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.