=====================================================
General NPI Number Information
=====================================================
NPI Number | 1447200191
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HOUSING OPTIONS FOR THE MENTALLY ILL IN EVANSTON, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/11/2006
-----------------------------------------------------
Last Update Date | 01/15/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 800 AUSTIN ST STE 312
-----------------------------------------------------
City | EVANSTON
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60202-3439
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 847-868-8664
-----------------------------------------------------
Fax | 866-877-6126
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 800 AUSTIN ST STE 312
-----------------------------------------------------
City | EVANSTON
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60202-3439
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 847-868-8664
-----------------------------------------------------
Fax | 866-877-6126
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OF OPERATIONS
-----------------------------------------------------
Name | MICHAEL VINCENT HENEGHAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 847-866-5038
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------