BELOVED COMMUNITY FAMILY WELLNESS CTR (NPI# 1891123832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891123832 |
| Entity Type | Organization |
| Organization Name | BELOVED COMMUNITY FAMILY WELLNESS CTR |
| Practice Address |
6821 S Halsted St Chicago IL 60621-1833 |
| Mailing Address |
6821 S Halsted Street Chicago IL 60621 |
| Practice Telephone | 7736513629 |
| Practice Fax Number | 7733221599 |
| Mailing Telephone | 7736513629 |
| Mailing Fax Number | 7733221599 |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2013-10-30 |
| Authorized Official Name | MS. ASSENATH NAAMAN (DIETICIAN) |
| Authorized Official Telephone | 7736513629 |
| Authorized Official Credential | LDN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 136A00000X | Dietetic Technician, Registered | 86034476 | IL | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013326586 | Beloved Community Family Wellness Ctr | Health Maintenance Organization | 6821 S Halsted St, Chicago, IL 60621-1833 | 2014-08-08 |
| 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 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740803394 | Conrad Care Incorporated | Home Health | 142 W . 62nd Street, Suite 203, Chicago, IL 60621 | 2020-05-18 |
| 1275068876 | St. Bernard Hospital Ambulatory Care Clinic | Clinic/Center | 6307 S Stewart, Chicago, IL 60621 | 2017-04-21 |
| 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 |
| Find all providers in zip 60621 | ||||
| Taxonomy Code | 136A00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietetic Technician, Registered |
| A person trained in food and nutrition who is an integral part of health care and foodservice management teams. A dietetic technician, registered (DTR) has successfully completed at least a two-year associate’s degree at a US regionally accredited college or university; a dietetic technician program approved by The American Dietetic Association, including 450 hours of supervised practice experience; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Dietetic Technician, Registered -- a food and nutrition practitioner. Chicago, IL: The American dietetic association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922631316 | Altaira Gil | Dietetic Technician, Registered | 3824 W 69th St, Chicago, IL 60629-4206 | 2020-02-13 |
| 1376157479 | Adriana Bueno | Dietetic Technician, Registered | 225 E Chicago Ave # 59, Chicago, IL 60611-2991 | 2020-09-04 |
| 1669085973 | Octavia Lindsey | Dietetic Technician, Registered | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-08-26 |
| 1043312960 | Willie Mae Jackson | Dietetic Technician, Registered | 820 S Damen Ave, Chicago, IL 60612-3728 | 2006-09-01 |
| 1174530331 | Doris Jean Marshall | Dietetic Technician, Registered | 820 S Damen Ave, Chicago, IL 60612-3728 | 2006-08-01 |
| 1639186877 | Valerie Letease Carr | Dietetic Technician, Registered | 820 S Damen Ave, Chicago, IL 60612-3728 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962767038 | Win U Care for Health | Dietetic Technician, Registered | 321 Big Arch Rd., Godfrey, IL 62035 | 2012-07-05 |
| 1790049831 | Julia Lynn Phillips | Dietetic Technician, Registered | 321 Big Arch Rd, Godfrey, IL 62035 | 2012-07-03 |
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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.