GREAT HEIGHTS OTP


Address: 315 E Mckinley Rd, Ottawa, IL 61350-4805
Phone: 8154340228

GREAT HEIGHTS OTP (NPI# 1881139418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881139418
Entity Type Organization
Organization Name GREAT HEIGHTS OTP
Other Organization Name GREAT HEIGHTS FAMILY MEDICINE, OTTAWA NTP
Practice Address 315 E Mckinley Rd
Ottawa
IL 61350-4805
Practice Telephone 8154340228
Mailing Telephone 8154340228
Enumeration Date 2017-01-06
Last Update Date 2019-12-19
Authorized Official Name ADEYEMI FATOKI (OWNER)
Authorized Official Telephone 3129529378
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name GREAT HEIGHTS OTP

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2800X Clinic/Center
Specialization: Methadone Clinic
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IL SUPR A-6548-0002-A 01

Other Provider/Organization Names

Other Name Type Code
Great Heights Family Medicine, Ottawa NTP Other Name - Individual/Organization
Great Heights OTP Ottawa Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1720516099 Great Heights Otp Clinic/Center 1473 Ring Rd, Calumet City, IL 60409-5459 2017-05-31
1659816874 Great Heights Otp Clinic/Center 1473 Ring Rd, Calumet City, IL 60409-5459 2016-12-23

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities GREAT HEIGHTS OTP., LLC 315 E Mckinley Rd, Ottawa, IL 61350-4805

Office Location

Street Address 315 E MCKINLEY RD
City OTTAWA
State IL
Zip Code 61350-4805

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760449938 Adeyemi Oludare Fatoki Family Medicine 315 E Mckinley Rd, Ottawa, IL 61350-4805 2006-04-28
1609303940 Great Heights Medical Ltd. Family Medicine 315 E Mckinley Rd, Ottawa, IL 61350-4805 2017-05-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306336359 Yulandist Jeannie Brown Licensed Practical Nurse 617 Columbus St, Ottawa, IL 61350 2018-05-15
1881071272 Ashlee Herbold Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1718 N 2525th Rd, Ottawa, IL 61350 2015-05-05
1053702365 Wanda Rohl Social Worker 3735 E 1453 Rd, Ottawa, IL 61350 2015-02-09
1538550868 Erin Rose Boe Physical Therapist 2872 Columbus St, Unit 300, Ottawa, IL 61350 2015-02-09
1346572757 Rebecca Samolitis Counselor 116 W Lafayette St, Suite 8, Ottawa, IL 61350 2010-02-10
1235383266 Timothy I Miller O.d. P.C. Optometrist 107 E. Mckinley Rd., Ottawa, IL 61350 2008-11-04
1427204676 Leo John Meagher Counselor 218 West Madison St, Ottawa, IL 61350 2008-08-07
1598938755 Radiation Oncology of Northern Illinois LLC Radiology 1200 Starfire Dr, Ottawa, IL 61350 2008-04-09
1154538510 Serenityonwheels, Inc. Counselor Serenity On Wheels, Inc. 630 Columbus Street, Ste # 214, Ottawa, IL 61350 2007-05-16
1205040904 Dixie Devry Occupational Therapist 2532 Reynolds Manor, Ottawa, IL 61350 2007-05-10
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Taxonomy Information

Taxonomy Code 261QM2800X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Methadone Clinic

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1245862457 Jem Treatment, Inc Clinic/Center 2424 Washington St Ste Ll-110, Waukegan, IL 60085-5074 2020-02-05
1124659123 Lake County Center, LLC Clinic/Center 310 S Greenleaf St Ste 206207, Gurnee, IL 60031-5708 2020-01-29
1750883286 Buena Vista Group, LLC Clinic/Center 418 Dixie Hwy, Chicago Heights, IL 60411-1739 2018-02-28
1518485960 The Bobby Buonauro Clinic Clinic/Center 1029 Howard St Ste 303, Evanston, IL 60202-3877 2017-09-06
1689196578 Serenity Treatment and Counseling Center Inc Clinic/Center 19408 North Creek Drive, Lynwood, IL 60411-8649 2017-07-12
1699296129 Loren 'half' Robinson Foundation Clinic/Center 4100 W Ogden Ave, Chicago, IL 60623-2821 2017-07-06
1942744453 Recovery Concepts LLC Clinic/Center 17100 Dixie Hwy, Suite D & E, Hazel Crest, IL 60429-1485 2016-12-19
1184022303 Renewed Hope Community Services Inc. Clinic/Center 626 E 71st St, Chicago, IL 60619-1212 2014-12-22
1316296007 Sundance Methadone Treatment Center,llc Clinic/Center 4545 N Broadway St, 3rd Floor, Chicago, IL 60640-5975 2012-09-10
1790030344 Ijegba Community Inc Clinic/Center 1950 E 75th St, Chicago, IL 60649-3633 2012-07-19
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Competitor

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City OTTAWA
Zip Code 61350

Improve Information

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Dataset Information

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.

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