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).
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 |
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 |
Street Address |
6302 DOLORES DR |
City | OAK FOREST |
State | IL |
Zip Code | 60452-2718 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689078198 | Latoya Bragg-finch | Counselor | 6302 Dolores Dr, Oak Forest, IL 60452-2718 | 2014-10-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831713098 | Oak Family Dental | Dentist | 6056 W. 159th Ave., Oak Forest, IL 60452 | 2020-06-03 |
1457982340 | Cook County | Family Medicine | 15900 S. Cicero, Oak Forest, IL 60452 | 2020-01-29 |
1265942718 | Suzanne Ankarlo | Speech-Language Pathologist | 3545 West Victoria Drive, Oak Forest, IL 60452 | 2017-10-10 |
1154855112 | True Laboratories LLC | Clinical Medical Laboratory | 5320 159th St Ste 505, Oak Forest, IL 60452 | 2017-04-17 |
1902347297 | Mena Loka Sr. | Physical Therapy Assistant | 6404 Nature Dr, Oak Forest, IL 60452 | 2017-03-20 |
1447797097 | Angelique Mayes-lamon | Clinic/Center | 15900 S Cicero Avenue, Building E, Oak Forest, IL 60452 | 2017-01-20 |
1265980759 | Surinder Sharma I | Pharmacist | 15900 So Cicero Ave, 15900 So Cicero Ave Bldg F, Oak Forest, IL 60452 | 2016-09-14 |
1326596800 | Gervaise Hunter-morris | Pharmacist | 15900 S. Cicero Avenue, Oak Forest, IL 60452 | 2016-09-14 |
1538519111 | Aunt Martha's Youth Service Center, Inc. | Clinic/Center | 15350 Oak Park Ave., Oak Forest, IL 60452 | 2016-06-15 |
1760836720 | Thh Acquisition LLC I | Durable Medical Equipment & Medical Supplies | 4149 166th St, Oak Forest, IL 60452 | 2016-04-15 |
Find all providers in zip 60452 |
Taxonomy Code | 310500000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Intermediate Care Facility, Mental Illness |
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] |
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 |
Find all providers with the same taxonomy |
City | OAK FOREST |
Zip Code | 60452 |
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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.