FRIEND FAMILY HEALTH CENTER, INC (NPI# 1932724390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932724390 |
| Entity Type | Organization |
| Organization Name | FRIEND FAMILY HEALTH CENTER, INC |
| Practice Address |
7355 S Jeffery Blvd Chicago IL 60649-3121 |
| Mailing Address |
Po Box 19351 Chicago IL 60619-0266 |
| Practice Telephone | 7737020660 |
| Practice Fax Number | 7738343756 |
| Mailing Telephone | 7737020660 |
| Mailing Fax Number | 7738343756 |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-06-11 |
| Authorized Official Name | SABRINA G MOORE (CFO) |
| Authorized Official Telephone | 7737022193 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRIEND FAMILY HEALTH CENTER, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Friend Health - South Shore | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740635663 | Friend Family Health Center, Inc | Assisted Living Facility | 6134 S Cottage Grove Ave, Chicago, IL 60637 | 2016-04-28 |
| 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 |
7355 S JEFFERY BLVD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60649-3121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386250199 | A Safe Haven, L.L.C. | Clinic/Center | 7342-46 S Kingston, Chicago, IL 60649 | 2020-09-17 |
| 1477178713 | Angela K Coleman | Counselor | 1955 E 71st Street, Chicago, IL 60649 | 2020-06-12 |
| 1245880715 | Familydoc Urgent Care LLC | Clinic/Center | 7201 S Stony Island Ave, Chicago, IL 60649 | 2019-09-17 |
| 1912498668 | Venessel N/a Woodson I | Radiology | 7674 S. Southshore Dr #1n, Chicago, IL 60649 | 2018-05-29 |
| 1689117764 | Susana Jimenez | Occupational Therapy Assistant | 2649 E. 75th St, Chicago, IL 60649 | 2016-11-22 |
| 1063863579 | Regina Whittmon | Driver | 7808 S Coles Ave Apt 3, Chicago, IL 60649 | 2016-06-27 |
| 1174912356 | Montsho Gallardo | Doula | 7653 S Coles Ave, Chicago, IL 60649 | 2015-01-12 |
| 1780922120 | April Ong | Physical Therapist | 6700 S Oglesby Ave, Apt 1906, Chicago, IL 60649 | 2013-01-18 |
| 1114288594 | Days Adult Day Care and Personal Care Providers Inc | Clinic/Center | 2455 E 75th St, Chicago, IL 60649 | 2012-06-02 |
| 1891064887 | Kevin Forrest | Occupational Therapist | 2425 E. 71st Street, Chicago, IL 60649 | 2011-12-20 |
| Find all providers in zip 60649 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 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.