HEARTLAND BANYAN, LLC (NPI# 1215404819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215404819 |
| Entity Type | Organization |
| Organization Name | HEARTLAND BANYAN, LLC |
| Practice Address |
1237 E 1600 North Rd Gilman IL 60938-6112 |
| Mailing Address |
950 N Federal Hwy Ste 115 Pompano Beach FL 33062-4314 |
| Practice Telephone | 9545337705 |
| Practice Fax Number | 9547817191 |
| Mailing Telephone | 9545337705 |
| Mailing Fax Number | 9547817191 |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2018-11-01 |
| Authorized Official Name | ERIN KENNEDY (REVENUE CYCLE EXECUTIVE) |
| Authorized Official Telephone | 9545337705 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
1237 E 1600 NORTH RD |
| City | GILMAN |
| State | IL |
| Zip Code | 60938-6112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972994804 | Bhs of Illinois LLC | Substance Abuse Rehabilitation Facility | 1237 E 1600 North Rd, Gilman, IL 60938-6112 | 2015-02-13 |
| 1205452984 | Monica Anne Wright | Nurse Practitioner | 1237 E 1600 North Rd, Gilman, IL 60938-6112 | 2020-06-18 |
| 1407395346 | Bhs Physician Services of Illinois PC | Internal Medicine | 1237 E 1600 North Rd, Gilman, IL 60938-6112 | 2017-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033460100 | Rachelle L Wilken | Massage Therapist | 401 S Crescent St., Gilman, IL 60938 | 2012-09-28 |
| 1437234564 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 720 S Crescent, Gilman, IL 60938 | 2006-10-26 |
| 1154401974 | Naran P Dodia | Internal Medicine | 121 E Crescent, Gilman, IL 60938 | 2006-10-16 |
| 1104803394 | Gilman Nursing Center, LLC | Skilled Nursing Facility | 1390 S Crescent, Route 45 South, Gilman, IL 60938 | 2005-12-28 |
| 1720505829 | Haley Marie Benner | Speech-Language Pathologist | 215 E 2nd St, Gilman, IL 60938-1301 | 2017-08-29 |
| 1801908991 | Iroquois Special Education Association | Local Education Agency (LEA) | 108 E Front St, Gilman, IL 60938-1331 | 2006-08-31 |
| 1073048468 | Nicole Lynn Fatka | Specialist/Technologist, Other | 318 N Thomas St, Gilman, IL 60938-1352 | 2017-04-24 |
| 1427164003 | Iroquois West Unit Dist #10 | Local Education Agency (LEA) | 529 E 2nd St, Gilman, IL 60938-1414 | 2006-08-23 |
| 1467962621 | Sarah M Allen | Nurse Practitioner | 720b S Crescent St, Gilman, IL 60938-1518 | 2017-10-02 |
| 1366469132 | Iroquois Memorial Hospital and Resident Home | Clinic/Center | 508 E Crescent St, Gilman, IL 60938-1702 | 2006-07-16 |
| Find all providers in zip 60938 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972994804 | Bhs of Illinois LLC | Substance Abuse Rehabilitation Facility | 1237 E 1600 North Rd, Gilman, IL 60938-6112 | 2015-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860729 | New Gen Ed Inc. | Substance Abuse Rehabilitation Facility | 1219 N Gary Ave, Carol Stream, IL 60188-9028 | 2020-10-28 |
| 1578187886 | Silver Glen Road Opco LLC | Substance Abuse Rehabilitation Facility | 41w400 Silver Glen Rd, St Charles, IL 60175-8453 | 2020-06-02 |
| 1669025672 | Gateway Foundation, Inc. | Substance Abuse Rehabilitation Facility | 25480 W Cedar Crest Ln Bldg A, Lake Villa, IL 60046-9744 | 2019-07-18 |
| 1295390490 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | Crossing Recovery Center, 495 East Central Ave, Decatur, IL 62521 | 2019-05-03 |
| 1396300638 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 E Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1679138911 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 East Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1033673165 | Michael David Lauts | Substance Abuse Rehabilitation Facility | 215 E 25th St Apt 228, Sterling, IL 61081-1092 | 2019-01-23 |
| 1457829632 | Hope Behavioral Services At The Jeannine Brent Center Incorporated | Substance Abuse Rehabilitation Facility | 2319 Plainfield Rd, Crest Hill, IL 60403-1875 | 2018-11-06 |
| 1063989143 | Northwest Recovery Center LLC | Substance Abuse Rehabilitation Facility | 5352 N Lincoln Ave Ste 250, Chicago, IL 60625-2316 | 2018-10-26 |
| 1982182671 | Rosecrance, Inc. | Substance Abuse Rehabilitation Facility | 2835 N Sheffield Ave Ste 209, Chicago, IL 60657-5083 | 2018-08-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.