BELOVED COMMUNITY FAMILY WELLNESS CENTER (NPI# 1114278009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114278009 |
| Entity Type | Organization |
| Organization Name | BELOVED COMMUNITY FAMILY WELLNESS CENTER |
| Practice Address |
3518 W 139th St Robbins IL 60472-2002 |
| Mailing Address |
6821 S Halsted St Chicago IL 60621-1833 |
| Practice Telephone | 7736513629 |
| Practice Fax Number | 7736519268 |
| Mailing Telephone | 7736513629 |
| Mailing Fax Number | 7736519268 |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2017-08-24 |
| Authorized Official Name | MISS SONYA COOK (FINANCE DIRECTOR) |
| Authorized Official Telephone | 7736513635 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
BL9194919 | IL | Ambulatory Health Care Facilities |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760408439 | Beloved Community Family Wellness Center | Clinic/Center | 6821 S Halsted St, Chicago, IL 60621-1833 | 2006-07-14 |
| 1700337243 | Beloved Community Family Wellness Center | Community/Behavioral Health | 6821 S Halsted St, Chicago, IL 60621-1833 | 2016-10-19 |
| 1144528167 | Beloved Community Family Wellness Center | Clinic/Center | 6821 S Halsted St, Chicago, IL 60621-1833 | 2011-03-01 |
| Street Address |
3518 W 139TH ST |
| City | ROBBINS |
| State | IL |
| Zip Code | 60472-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083641146 | Simon Joseph Piller | Internal Medicine | Robbins Health Center of Cook County, 13450 S. Kedzie Ave., Robbins, IL 60472 | 2006-06-26 |
| 1073572889 | Pamela Lynn Jones | Pharmacist | Robbins Health Center, 13450 South Kedzie, Robbins, IL 60472 | 2006-03-21 |
| 1336592609 | Geraldine Washington | Non-emergency Medical Transport (VAN) | 13613 S Crawford Ave, Robbins, IL 60472-1413 | 2016-07-21 |
| 1184249328 | Ibg Home Nursing LLC | Registered Nurse | 3422 W 137th St, Robbins, IL 60472-1606 | 2020-06-13 |
| 1053942920 | Village of Robbins | Ambulance | 3327 W 137th Street, Robbins, IL 60472-1636 | 2020-01-30 |
| 1376578799 | Tais V. Crawford | Family Medicine | 13450 S Kedzie Ave, Robbins Health Center, Robbins, IL 60472-1639 | 2006-07-12 |
| 1053942045 | Cook County | Family Medicine | 13450 S Kedzie Ave, Robbins, IL 60472-1639 | 2020-01-29 |
| 1922127844 | Cook County | Clinic/Center | 13450 S Kedzie Ave, Robbins, IL 60472-1639 | 2007-03-29 |
| 1629164793 | Jacqueline H Marshall | Pediatrics | 13450 S Kedzie Ave, Robbins, IL 60472-1639 | 2006-10-05 |
| 1225348501 | Cem Home Health Services, Inc | Home Health | 3800 W 139th St, Robbins, IL 60472-1804 | 2010-10-20 |
| Find all providers in zip 60472 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962403428 | Mountain Peoples Health Councils Inc | Clinic/Center | 715 Rugby Hwy, Robbins, TN 37852-3721 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417567108 | Pillars Community Health | Clinic/Center | 15w458 91st St, Burr Ridge, IL 60527-6379 | 2020-08-06 |
| 1932724390 | Friend Family Health Center, Inc | Clinic/Center | 7355 S Jeffery Blvd, Chicago, IL 60649-3121 | 2020-06-11 |
| 1871117937 | Primecare Community Health Inc | Clinic/Center | 1431 N Western Ave Ste 101, Chicago, IL 60622-7712 | 2020-06-04 |
| 1639791569 | Community Health Partnership of Illinois | Clinic/Center | 201 W Kenyon Rd Bldg D, Champaign, IL 61820-7892 | 2020-05-14 |
| 1407482219 | Access Community Health Network | Clinic/Center | 6020 W Diversey Ave Bldg West, Chicago, IL 60639-1108 | 2020-03-13 |
| 1235769704 | Greater Elgin Family Care Center | Clinic/Center | 451 N Mclean Blvd, Elgin, IL 60123-3239 | 2020-01-23 |
| 1710517537 | Greater Elgin Family Care Center Integrated Health Home | Clinic/Center | 1100 Shirley Ave, Streamwood, IL 60107-3068 | 2020-01-21 |
| 1215578109 | Board of Trustees of Southern Illinois University | Clinic/Center | 205 S 24th St Ste 100, Quincy, IL 62301-4446 | 2019-10-02 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1427600345 | The Board of Trustees of The University of Illinois | Clinic/Center | 6835 S Normal Blvd, Chicago, IL 60621-2535 | 2019-07-11 |
| Find all providers with the same taxonomy | ||||
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| 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.