LATOYA BRAGG-FINCH


Address: 6302 Dolores Dr, Oak Forest, IL 60452-2718
Phone: 7086917272

LATOYA BRAGG-FINCH (NPI# 1821491960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821491960
Entity Type Organization
Organization Name LATOYA BRAGG-FINCH
Practice Address 6302 Dolores Dr
Oak Forest
IL 60452-2718
Practice Telephone 7086917272
Mailing Telephone 7086917272
Enumeration Date 2014-10-03
Last Update Date 2014-10-03
Authorized Official Name MRS. LATOYA DEJUAN BRAGG-FINCH (COUNSELOR)
Authorized Official Telephone 7086917272
Authorized Official Credential LPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 283Q00000X Psychiatric Hospital 178010247 IL Hospitals
N 320800000X Community Based Residential Treatment Facility, Mental Illness 178010247 IL Residential Treatment Facilities
Y 310500000X Intermediate Care Facility, Mental Illness 178010247 IL Nursing & Custodial Care Facilities

Office Location

Street Address 6302 DOLORES DR
City OAK FOREST
State IL
Zip Code 60452-2718

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689078198 Latoya Bragg-finch Counselor 6302 Dolores Dr, Oak Forest, IL 60452-2718 2014-10-13

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Taxonomy Information

Taxonomy Code 310500000X
Grouping Nursing & Custodial Care Facilities
Classification Intermediate Care Facility, Mental Illness

Taxonomy Definition

A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376088146 Inspire Senior Care, LLC Intermediate Care Facility, Mental Illness 401 Burke Dr, Joliet, IL 60433-2113 2017-01-03
1407024284 Bridgeway, Inc Intermediate Care Facility, Mental Illness 639 Hawthorne Ct, Galesburg, IL 61401-1200 2008-02-14
1003004565 Skokie Meadows Nursing Centers II,llc Intermediate Care Facility, Mental Illness 4600 Golf Rd, Skokie, IL 60076-1210 2007-10-10
1508088410 Lydia Healthcare Intermediate Care Facility, Mental Illness 13901 S Lydia Ave, Robbins, IL 60472-2215 2007-05-02
1154545879 Bridgeway, Inc Intermediate Care Facility, Mental Illness 1089 Hawkinson Ave, Galesburg, IL 61401-6900 2007-04-12
1023231537 Bridgeway, Inc Intermediate Care Facility, Mental Illness 1023 Dewey Ave, Kewanee, IL 61443-3205 2007-04-11
1609099118 Bridgeway, Inc Intermediate Care Facility, Mental Illness 501 N Grove St, Kewanee, IL 61443-2078 2007-04-11
1194948695 Bridgeway, Inc Intermediate Care Facility, Mental Illness 1974 Windish Dr, Galesburg, IL 61401-6800 2007-04-11
1790908200 Bridgeway, Inc Intermediate Care Facility, Mental Illness 1084 Lawrence Ave, Galesburg, IL 61401-2482 2007-04-11
1407079916 Bridgeway, Inc Intermediate Care Facility, Mental Illness 1191 Jefferson St, Galesburg, IL 61401-2617 2007-04-11
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Competitor

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City OAK FOREST
Zip Code 60452

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Dataset Information

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.

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