HENDRICKSON HOUSE OF SOBRIETY LLC
NPI 1124988480
Clinic/Center - Rehabilitation, Substance Use Disorder in Cicero, IL
About Hendrickson House Of Sobriety Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HENDRICKSON HOUSE OF SOBRIETY LLC (NPI 1124988480) is a healthcare organization registered as a rehabilitation, substance use disorder in Cicero, Illinois and active in the NPI registry since November 2025. The organization holds a CLIA Waiver certificate valid through April 6, 2028 and lists Steve Hendrickson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 14D2341718
Hendrickson House Of Sobriety LLC · Cicero, ILFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Hendrickson House Of Sobriety LLC's NPI number?
The NPI number for Hendrickson House Of Sobriety LLC is 1124988480. It was assigned to this organization in the NPPES registry on November 17, 2025.
Where is Hendrickson House Of Sobriety LLC located?
Hendrickson House Of Sobriety LLC is located at 2901 S 49th Ave, Cicero, IL 60804. The listed phone number is (464) 927-9879.
What is Hendrickson House Of Sobriety LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.
Does Hendrickson House Of Sobriety LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2341718) is associated with this NPI, valid through April 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Hendrickson House Of Sobriety LLC was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Hendrickson House Of Sobriety Llc · NPI 1124988480
Rehabilitation, Substance Use Disorder organization in Cicero, Illinois. Organization record, active in the CMS NPPES registry since November 17, 2025.
## Identity
- **NPI:** 1124988480 (Entity type: Organization)
- **Enumerated:** November 17, 2025
- **Primary specialty:** Clinic/Center - Rehabilitation, Substance Use Disorder · taxonomy 261QR0405X
- **Organization subpart:** No
- **Authorized official:** Steve Hendrickson, OWNER
## Practice location
- **Address:** 2901 S 49TH AVE, Cicero, IL 60804-3634
- **Phone:** (464) 927-9879
## Record status
- **NPPES last updated:** June 4, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1124988480) · Data from the CMS NPPES public registry.