SAFER FOUNDATION (NPI# 1285151704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285151704 |
| Entity Type | Organization |
| Organization Name | SAFER FOUNDATION |
| Practice Address |
3210 W Arthington St Chicago IL 60624-4121 |
| Mailing Address |
571 W Jackson Blvd Chicago IL 60661-5701 |
| Practice Telephone | 7735335000 |
| Mailing Telephone | 3129222200 |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2017-08-25 |
| Authorized Official Name | VICTOR DICKSON (PRESIDENT AND CEO) |
| Authorized Official Telephone | 3129224767 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 276400000X | Rehabilitation, Substance Use Disorder Unit | A-0592-0001-A | IL | Hospital Units |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
A-0592-0001-A | IL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467084442 | Safer Foundation | Clinic/Center | 808 S. Kedzie Ave, Chicago, IL 60612 | 2020-02-07 |
| 1053957993 | Safer Foundation | Clinic/Center | 769 W Jackson, Unit G, Chicago, IL 60661 | 2019-11-26 |
| 1255977195 | Safer Foundation | Clinic/Center | 6352 W Grand Ave, Chicago, IL 60639-2650 | 2019-11-26 |
| 1174003644 | Safer Foundation | Clinic/Center | 571 W Jackson Blvd, Chicago, IL 60661 | 2018-08-15 |
| 1619460326 | Safer Foundation | Rehabilitation, Substance Use Disorder Unit | 808 S Kedzie Ave, Chicago, IL 60612-3929 | 2018-06-08 |
| 1801309752 | Safer Foundation | Counselor | 2839 W Fillmore St, Chicago, IL 60612-4051 | 2017-11-14 |
| 1871030130 | Safer Foundation | Clinic/Center | 3210 W Arthington St, Chicago, IL 60624-4121 | 2017-01-25 |
| 1780216036 | Safer Foundation | Clinic/Center | 6352 W Grand Ave, Chicago, IL 60639-2650 | 2020-02-05 |
| 1982236220 | Safer Foundation | Clinic/Center | 571 W Jackson Blvd, Chicago, IL 60661-5701 | 2020-02-05 |
| 1184261653 | Safer Foundation | Clinic/Center | 571 W Jackson Blvd, Chicago, IL 60661-5706 | 2019-12-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | SAFER FOUNDATION | 571 W Jackson Blvd, Chicago, IL 60661 |
| Street Address |
3210 W ARTHINGTON ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60624-4121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871030130 | Safer Foundation | Clinic/Center | 3210 W Arthington St, Chicago, IL 60624-4121 | 2017-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071932 | Euginia Ivanova | Counselor | 3410 W. Roosevelt Rd, Chicago, IL 60624 | 2020-10-19 |
| 1629619572 | Denise R Bean | Technician | 3322 West Polk St, Chicago, IL 60624 | 2019-10-02 |
| 1033693742 | Ahmed Hussain Memon | Nurse Practitioner | 3800 West Madison, Chicago, IL 60624 | 2018-09-18 |
| 1487104006 | Jeffrey Blythe | Social Worker | 3605 W. Fillmore Street, Ucan, Chicago, IL 60624 | 2016-10-06 |
| 1366992216 | Brian Macwilliams | Social Worker | 3605 W. Fillmore St, Chicago, IL 60624 | 2016-10-04 |
| 1982151510 | Darryl Lamont Clayton | Counselor | 3605 W. Fillmore, Chicago, IL 60624 | 2016-09-01 |
| 1821487646 | Total Enrichment Services Inc. | Counselor | 3335 W Washington Blvd, Chicago, IL 60624 | 2015-01-16 |
| 1295038818 | Raad N Rashan M D S C | Internal Medicine | 3743 W Chicago Ave, Chicago, IL 60624 | 2010-12-21 |
| 1194044453 | Theresa Roberts | Speech-Language Pathologist | 3240 W. Franklin Blvd, Chicago, IL 60624 | 2010-05-26 |
| 1154570208 | Ht Outpatient Pharmacy | Pharmacy | 3435 W Vanburen St, Chicago, IL 60624 | 2008-09-13 |
| Find all providers in zip 60624 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144852260 | Vincent Wallace | Clinic/Center | 226 W Ontario St, Chicago, IL 60654-3619 | 2020-02-06 |
| 1053957993 | Safer Foundation | Clinic/Center | 769 W Jackson, Unit G, Chicago, IL 60661 | 2019-11-26 |
| 1255977195 | Safer Foundation | Clinic/Center | 6352 W Grand Ave, Chicago, IL 60639-2650 | 2019-11-26 |
| 1063068492 | The Threshold | Clinic/Center | 3015 W Harrison St, Chicago, IL 60612 | 2019-08-12 |
| 1790338150 | Solleys House | Clinic/Center | 4163 S Archer Ave, Chicago, IL 60632-1870 | 2019-07-24 |
| 1366925489 | Lurie Children's Adolescent Substance Abuse and Prevention Progarm | Clinic/Center | 1440 N Dayton St, Chicago, IL 60642-2644 | 2018-09-13 |
| 1710482815 | Gateway Foundation, Inc. | Clinic/Center | 415 N Dearborn St Ste 510, Chicago, IL 60654-4626 | 2018-03-29 |
| 1366957292 | Maryville Academy | Clinic/Center | 1510 N Claremont Ave, Chicago, IL 60622-1710 | 2017-12-14 |
| 1053836395 | Aunt Martha's Health and Wellness, Inc. | Clinic/Center | 5001 S Michigan Ave Ste B, Chicago, IL 60615-2112 | 2017-08-08 |
| 1437679255 | Sixto Garcia | Clinic/Center | 1100 W. Cermak Rd, Chicago, IL 60608 | 2017-06-22 |
| Find all providers in CHICAGO | ||||
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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.