FRIEND FAMILY HEALTH CENTER, INC (NPI# 1740635663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740635663 |
Entity Type | Organization |
Organization Name | FRIEND FAMILY HEALTH CENTER, INC |
Practice Address |
6134 S Cottage Grove Ave Chicago IL 60637 |
Mailing Address |
800 E 55th St Chicago IL 60615-4906 |
Practice Telephone | 7737020660 |
Practice Fax Number | 7737024356 |
Mailing Telephone | 7737020660 |
Mailing Fax Number | 7737024356 |
Enumeration Date | 2016-04-28 |
Last Update Date | 2018-05-30 |
Authorized Official Name | SABRINA MOORE (CFO) |
Authorized Official Telephone | 7737020660 |
Is Organization Subpart | Y |
Parent Organization Name | FRIEND FAMILY HEALTH CENTER INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932724390 | Friend Family Health Center, Inc | Clinic/Center | 7355 S Jeffery Blvd, Chicago, IL 60649-3121 | 2020-06-11 |
1215394895 | Friend Family Health Center, Inc | Midwife | 1522 E 63rd Street, Chicago, IL 60637 | 2016-01-27 |
1457330870 | Friend Family Health Center, Inc | Clinic/Center | 5843 S. Western Avenue, Chicago, IL 60636 | 2006-01-13 |
1578560090 | Friend Family Health Center, Inc | Clinic/Center | 800 E 55th St, Chicago, IL 60615-4906 | 2005-06-30 |
1861667404 | Friend Family Health Center, Inc | Clinic/Center | 25 W 47th St, Chicago, IL 60609-4627 | 2008-04-24 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | FRIEND FAMILY HEALTH CENTER, INC. | 800 E 55th St, Chicago, IL 60615-4906 |
Street Address |
6134 S COTTAGE GROVE AVE |
City | CHICAGO |
State | IL |
Zip Code | 60637 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
Find all providers in zip 60637 |
Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275184889 | The Encore At The Twin Cities | Assisted Living Facility | 101 N Wacker Dr Ste 608, Chicago, IL 60606-1726 | 2019-09-25 |
1922543917 | Montclare Senior Residences Slf of Lawndale LLC | Assisted Living Facility | 4339 West 18th Place, Chicago, IL 60623 | 2016-12-29 |
1851849269 | Alden Courts of Waterford, L.L.C. | Assisted Living Facility | 4200 W. Peterson Ave. Suite 140, Chicago, IL 60646-6074 | 2016-09-14 |
1760851364 | Goldblatts of Chicago Limited Partnership | Assisted Living Facility | 4707 S Marshfield Ave, Chicago, IL 60609-4159 | 2015-09-24 |
1982900445 | Covenant Home of Chicago | Assisted Living Facility | 2720 West Foster Avenue, Chicago, IL 60625-3510 | 2011-02-01 |
1215269071 | Renaissance Saint Luke Slf Lp | Assisted Living Facility | 1501 W Melrose St, Chicago, IL 60657-9083 | 2010-02-04 |
1346579398 | Genesis Rehabilitation Services | Assisted Living Facility | 7120 N Sheridan Rd, # 201, Chicago, IL 60626-2900 | 2009-12-21 |
1992946214 | Victory Centre of South Chicago LLC | Assisted Living Facility | 3251 E 92nd St, Chicago, IL 60617-4660 | 2009-03-17 |
1861638181 | Victory Centre of Galewood LLC | Assisted Living Facility | 2370 N Newcastle Ave, Chicago, IL 60707-2955 | 2008-12-17 |
1487803938 | Cortland Manor LLC | Assisted Living Facility | 1900 N. Karlov Ave., Chicago, IL 60639 | 2008-09-09 |
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.