- Practice location
- 243 W 95TH St, Chicago, IL 60628-1375
- Phone
- 708-491-3303
- Fax
- —
- Last updated
- April 24, 2023
1863FWD Care 2 Care Nfp is a healthcare organization based in Chicago, IL. 1863FWD Care 2 Care Nfp practices in Chicago, IL. The NPI Number for 1863FWD Care 2 Care Nfp is 1790472355. The current practice location address for 1863FWD Care 2 Care Nfp is 243 W 95TH St, Chicago, IL 60628-1375 and can be reached out via phone at 708-491-3303.
Provider Profile Details
- NPI Number
- 1790472355
- Provider Name
- 1863FWD Care 2 Care Nfp
- Provider Entity Type
- Organization
- Address
- 243 W 95TH St, Chicago, IL 60628-1375
- Phone Number
- 708-491-3303
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- No
- Authorized Official
- Jataun Rollins, LCSW · Ceo · 708-491-3303
- Other Names
- 1863FWD Care 2 Care (Doing Business As)
1863 Care 2 Care (Doing Business As) - Provider Enumeration Date
- April 24, 2023
- Last Update Date
- April 24, 2023
- Certification Date
- April 22, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 243 W 95TH St
Chicago, IL 60628-1375 - City
- Chicago
- State
- Illinois
- Zip
- 60628-1375
- Phone Number
- 708-491-3303
Provider Business Mailing Address Details
- Address
- Po Box 717
Glenwood, IL 60425-0717 - City
- Glenwood
- State
- IL
- Zip
- 60425-0717
- Phone Number
- 708-491-3303
License Information
- Taxonomy (1)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Taxonomy (2)
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X
- Taxonomy (3)
- Alzheimer Center (Dementia Center) · 311500000X
- Taxonomy (4)
- Non-emergency Medical Transport (VAN) · 343900000X
- Taxonomy (5)
- Private Vehicle · 347C00000X
- Taxonomy (6)
- Transportation Broker · 347E00000X
- Taxonomy (7)
- Community/Behavioral Health · 251S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of 1863FWD Care 2 Care Nfp?
The NPI number of 1863FWD Care 2 Care Nfp is 1790472355. It was assigned on April 24, 2023 and is currently active in the NPPES registry.
What is the specialty of 1863FWD Care 2 Care Nfp?
1863FWD Care 2 Care Nfp is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X).
Where does 1863FWD Care 2 Care Nfp practice?
The practice location is 243 W 95TH St, Chicago, IL 60628-1375. The office can be reached at 708-491-3303 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790472355 directly on the NPPES registry website.