BETHANY HOMES AND METHODIST HOSPITAL (NPI# 1609181106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609181106 |
| Entity Type | Organization |
| Organization Name | BETHANY HOMES AND METHODIST HOSPITAL |
| Other Organization Name | METHODIST HOSPITAL OF CHICAGO |
| Practice Address |
1550 S Albany Ave Chicago IL 60623-2212 |
| Mailing Address |
5025 N Paulina St Chicago IL 60640-2772 |
| Practice Telephone | 7739891465 |
| Practice Fax Number | 7739891377 |
| Mailing Telephone | 7739891465 |
| Mailing Fax Number | 7739891377 |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2010-08-10 |
| Authorized Official Name | MR. HAROLD MARSHALL REISLER (CONTROLLER) |
| Authorized Official Telephone | 7739891465 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| METHODIST HOSPITAL OF CHICAGO | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083702047 | Bethany Homes and Methodist Hospital | Skilled Nursing Facility | 8425 Waukegan Rd, Morton Grove, IL 60053-2202 | 2006-10-11 |
| 1518202225 | Bethany Homes and Methodist Hospital | Family Medicine | 5113 N Clark St, Chicago, IL 60640-2807 | 2012-12-06 |
| 1306105358 | Bethany Homes and Methodist Hospital | Home Health | 2601 Chestnut Ave, Suite 3310, Glenview, IL 60026-8314 | 2012-05-11 |
| 1558698589 | Bethany Homes and Methodist Hospital | Internal Medicine | 5025 N Paulina St, Chicago, IL 60640-2772 | 2009-11-12 |
| 1669708210 | Bethany Homes and Methodist Hospital | Clinic/Center | 5009 N Sheridan Rd, Chicago, IL 60640-3117 | 2009-11-02 |
| 1407993116 | Bethany Homes and Methodist Hospital | Skilled Nursing Facility | 5025 N Paulina St, Chicago, IL 60640-2772 | 2007-01-31 |
| Street Address |
1550 S ALBANY AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60623-2212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902994650 | Sacred Heart Home | Intermediate Care Facility, Mental Illness | 1550 S Albany Ave, Chicago, IL 60623-2212 | 2006-10-10 |
| 1154890721 | Lutheran Social Services of Illinois | Clinic/Center | 1550 S Albany Ave, Chicago, IL 60623-2212 | 2018-11-13 |
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| 1679024376 | Athletico Ltd. | Physical Therapist | 2632 W. Pershing Rd., Chicago, IL 60623 | 2016-10-18 |
| 1245691211 | L A Jones Hair Restoration Center | Prosthetic/Orthotic Supplier | 1657 S. Troy, Chicago, IL 60623 | 2016-03-17 |
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| 1992055487 | Margaret C Johnson | Nurse Practitioner | 3860 W. Ogden Ave, Chicago, IL 60623 | 2012-09-12 |
| 1477851319 | Elizabeth Bauer | Physician Assistant | 3256 W 24th St, Chicago, IL 60623 | 2011-03-01 |
| 1023328390 | Rebecca Franco | Advanced Practice Midwife | 2875 W. 19th St, Chicago, IL 60623 | 2010-10-20 |
| 1447580899 | Candace Nicole Hutchen | Pharmacist | 3434 West 13th Place, Chicago, IL 60623 | 2010-01-07 |
| 1689801680 | Braceman P&o Inc. | Prosthetic/Orthotic Supplier | 2830 W. Cermak Rd., Chicago, IL 60623 | 2009-06-17 |
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| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
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| 1124634852 | Prosper Counseling Services | Clinic/Center | 808 W Junior Ter Apt 303, Chicago, IL 60613-1657 | 2020-09-17 |
| 1265040760 | Orchid Counseling Chicago | Clinic/Center | 451 W Melrose St Apt 610, Chicago, IL 60657-3826 | 2020-07-21 |
| 1164040630 | Sunshine Therapy Pllc | Clinic/Center | 3328 N Bell Ave, Chicago, IL 60618-6204 | 2020-07-10 |
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| 1144843152 | Healing and Fuerza Therapy LLC | Clinic/Center | 3735 S Wallace St 1r, Chicago, IL 60609 | 2020-05-26 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1437771979 | Healthy Mind and Body LLC | Clinic/Center | 10540 S Western Ave Ste 507, Chicago, IL 60643-2529 | 2020-05-07 |
| 1346877412 | Mind Body Center | Clinic/Center | 2551 N Clark St Ste 301, Chicago, IL 60614-7732 | 2020-03-26 |
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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.