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GREAT HEIGHTS OTP
NPI 1720516099
Clinic/Center - Methadone in Calumet City, IL

Active since May 31, 2017CLIA 14D2156618 · Waiver
1473 RING RD, CALUMET CITY, IL 60409(708) 862-8156 Get Directions Write a Review

NPPES record last updated: December 19, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2019, Mar 17, 2018, May 31, 2017 (3 updates tracked since 2017).

About Great Heights Otp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT HEIGHTS OTP (NPI 1720516099) is a healthcare organization registered as a methadone in Calumet City, Illinois and active in the NPI registry since May 2017. The organization holds a CLIA Waiver certificate valid through October 21, 2026, maintains a secondary practice location in Ottawa, and lists Adeyemi Fatoki, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1720516099
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameGREAT HEIGHTS OTP
Location Address1473 RING RDCalumet City, IL 60409-5459
Mailing Address1473 Ring RdCalumet City, IL 60409-5459 · (708) 862-8156
Phone(708) 862-8156
Organization SubpartNo
Authorized OfficialAdeyemi FatokiMedical Director · (708) 862-8156
Enumeration DateMay 31, 2017
Last NPPES UpdateDecember 19, 20193 updates tracked since enumeration
✔ NPI 1720516099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
1473 RING RD, Calumet City, IL 60409
Open in Google Maps ↗

Secondary Practice Location 1

Location 1315 E McKinley RdOttawa, IL 61350-4805 · Phone (815) 434-0228

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 14D2156618

Great Heights O T P, Ottawa · Ottawa, IL
Active · expires Oct 21, 2026
CLIA Number14D2156618
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateOctober 22, 2024
Certificate Expiration DateOctober 21, 2026
Laboratory DirectorAdeyemi O. Fatoki M D
Laboratory Phone(815) 434-0228
Laboratory LocationGreat Heights O T P, Ottawa315 E Mckinley Rd, Ottawa, IL 61350
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LACONYER DAVIS MACC, LPC, NCC, CADC
Counselor (Professional)
1473 RING RD, GREAT HEIGHTS FAMILY MEDICINE
CALUMET CITY, IL 60409
Cook County (312) 885-2195
THERESA IBEABUCHI NURSE PRACTITIONER
Family Medicine
1473 RING RD
CALUMET CITY, IL 60409
Cook County (708) 862-8156
COMPREHENSIVE MEDICAL MANAGEMENT SERVICES LTD
Psychiatry & Neurology (Addiction Medicine)
1473 RING RD
CALUMET CITY, IL 60409
Cook County (708) 868-0003
GREAT HEIGHTS FAMILY MEDICINE LTD.
Family Medicine (Addiction Medicine)
1473 RING RD
CALUMET CITY, IL 60409
Cook County (312) 952-9378
DR. ABDULATEEF O KAREEM M.D.
Family Medicine (Geriatric Medicine)
1473 RING RD
CALUMET CITY, IL 60409
Cook County (773) 510-9985
HANSERS ASSOCIATES
Family Medicine
1473 RING RD
CALUMET CITY, IL 60409
Cook County (708) 862-8156
PAMELA DIANE BRANTLEY NP
Nurse Practitioner (Family)
1473 RING RD
CALUMET CITY, IL 60409
Cook County (708) 862-8156
OAKMERIT HEALTHCARE SC
Family Medicine
1473 RING RD
CALUMET CITY, IL 60409
Cook County (708) 862-8156

Frequently 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 Great Heights Otp's NPI number?

The NPI number for Great Heights Otp is 1720516099. It was assigned to this organization in the NPPES registry on May 31, 2017.

Where is Great Heights Otp located?

Great Heights Otp is located at 1473 Ring Rd, Calumet City, IL 60409. The listed phone number is (708) 862-8156.

What is Great Heights Otp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Does Great Heights Otp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2156618) is associated with this NPI, valid through October 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Great Heights Otp was last updated on December 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.