ROSEATE DAWN NEW BEGINNINGS INCORPORATED – NPI #1386508471
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

Health Care Provider Taxonomy Code for Clinic/Center

ROSEATE DAWN NEW BEGINNINGS INCORPORATED is an AHC clinic located in HOMETOWN, IL. NPPES has assigned the NPI number 1386508471 to ROSEATE DAWN NEW BEGINNINGS INCORPORATED on December 12, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM2800X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Methadone

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ROSEATE DAWN NEW BEGINNINGS INCORPORATED below.

NPI Profile for
ROSEATE DAWN NEW BEGINNINGS INCORPORATED

NPI Number
1386508471
Enumeration Date

(about 6 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ROSEATE DAWN NEW BEGINNINGS INCORPORATED
Primary location
4126 WEST 87TH STREET
HOMETOWN, IL 60456
Phone: (312) 498-7177 Fax: (773) 498-7177
Mailing address
5030 N MARINE DR APT 806
CHICAGO, IL 60640-3372
Phone: (773) 597-7698 Fax: (773) 597-7698
Organization Subpart
No
Authorized Official
MARVIN COKLOW
COMPLIANCE OFFICER
Phone: (773) 597-7698
Updated
Certification Date
Dec 08, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM2800X
- Clinic/Center / Methadone (Primary)
261QR0405X
- Clinic/Center / Rehabilitation, Substance Use Disorder

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.