BELOVED COMMUNITY FAMILY WELLNESS CENTER (NPI# 1144528167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144528167 |
| Entity Type | Organization |
| Organization Name | BELOVED COMMUNITY FAMILY WELLNESS CENTER |
| Practice Address |
6821 S Halsted St Chicago IL 60621-1833 |
| Practice Telephone | 7736513629 |
| Practice Fax Number | 7736511599 |
| Mailing Telephone | 7736513629 |
| Mailing Fax Number | 7733221955 |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2017-08-24 |
| Authorized Official Name | MS. MARGIE NEDA JOHNSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7736513828 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
036113305 | IL | Ambulatory Health Care Facilities |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114278009 | Beloved Community Family Wellness Center | Clinic/Center | 3518 W 139th St, Robbins, IL 60472-2002 | 2012-10-02 |
| 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 |
| Street Address |
6821 S HALSTED ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60621-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760408439 | Beloved Community Family Wellness Center | Clinic/Center | 6821 S Halsted St, Chicago, IL 60621-1833 | 2006-07-14 |
| 1942801873 | Jamella Sims | Registered Nurse | 6821 S Halsted St, Chicago, IL 60621-1833 | 2020-11-06 |
| 1417555798 | Oyeyemi Arotile | Registered Nurse | 6821 S Halsted St, Chicago, IL 60621-1833 | 2020-10-09 |
| 1750939476 | Katherine M Farrar | Social Worker | 6821 S Halsted St, Chicago, IL 60621-1833 | 2019-08-27 |
| 1902379621 | Vonnise Renee' Hussey | Nurse Practitioner | 6821 S Halsted St, Chicago, IL 60621-1833 | 2019-01-04 |
| 1659883916 | Kathleen Louise Kallend | Dietitian, Registered | 6821 S Halsted St, Chicago, IL 60621-1833 | 2017-10-26 |
| 1720510258 | Larita Smith | Dental Hygienist | 6821 S Halsted St, Chicago, IL 60621-1833 | 2017-04-03 |
| 1700337243 | Beloved Community Family Wellness Center | Community/Behavioral Health | 6821 S Halsted St, Chicago, IL 60621-1833 | 2016-10-19 |
| 1235689662 | Nita Marchant | Counselor | 6821 S Halsted St, Chicago, IL 60621-1833 | 2016-10-10 |
| 1205217312 | Ella Cecilia Heras | Nurse Practitioner | 6821 S Halsted St, Chicago, IL 60621-1833 | 2015-06-15 |
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| 1063954519 | Created2careltd | Secured Medical Transport (VAN) | 5632 S. Emerald Ave, Chicago, IL 60621 | 2016-11-15 |
| 1932566023 | Windycitywheelchairservice | Technician, Other | 6427 S Parnell Ave, Chicago, IL 60621 | 2016-01-21 |
| 1194127787 | Aaa-1 Transportation | Secured Medical Transport (VAN) | 5740 S Emerald Ave, Chicago, IL 60621 | 2014-09-25 |
| 1871893859 | Anuj Jain | Family Medicine | 6508 S Halsted Street, Chicago, IL 60621 | 2010-10-25 |
| 1750538104 | Adolfo M. Maglaya, M.d., S.c. | Internal Medicine | 326 W. 64th St., Chicago, IL 60621 | 2008-08-27 |
| 1083882997 | Englewood Satellite Senior Center | Clinic/Center | 657 W. 63rd St, Chicago, IL 60621 | 2008-02-13 |
| 1295952059 | Carrington Radiology, S.c. | Radiology | St. Bernard Hospital, 326 W. 64th Street, 2nd Floor (radiology Department), Chicago, IL 60621 | 2007-04-20 |
| 1851427660 | Dilipkumar Parikh Md | Internal Medicine | 324 West 64th St, Suite 216, Chicago, IL 60621 | 2007-02-26 |
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| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 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 |
| 1407482219 | Access Community Health Network | Clinic/Center | 6020 W Diversey Ave Bldg West, Chicago, IL 60639-1108 | 2020-03-13 |
| 1427600345 | The Board of Trustees of The University of Illinois | Clinic/Center | 6835 S Normal Blvd, Chicago, IL 60621-2535 | 2019-07-11 |
| 1114498540 | Pcc Community Wellness Center | Clinic/Center | 115 N Parkside Ave Fl 1, Chicago, IL 60644-3040 | 2018-12-11 |
| 1427523125 | Howard Brown Health Center | Clinic/Center | 3533 W North Ave Ste 1, Chicago, IL 60647-7573 | 2018-10-09 |
| 1336626936 | Heartland International Health Center | Clinic/Center | 1631 W Jonquil Ter, Chicago, IL 60626-1103 | 2018-07-26 |
| 1760975304 | Inner-city Muslim Action Network | Clinic/Center | 2744 W 63rd St Bldg 2, Chicago, IL 60629-2343 | 2018-06-08 |
| 1417473851 | Howard Brown Health Center | Clinic/Center | 2800 N Sheridan Rd Ste 211, Chicago, IL 60657-6161 | 2017-08-17 |
| 1487193181 | Mile Square Englewood/cook Satellite Health and Wellness Center | Clinic/Center | 8150 S Bishop St, Chicago, IL 60620-3854 | 2017-02-15 |
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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.