HOLISTIC COMMUNITY OUTREACH CENTER INC. NPI 1841555620

NPI Information

NPI: 1841555620
Provider Name: HOLISTIC COMMUNITY OUTREACH CENTER INC.

Other Name: FOUNTAIN OF LIFE

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
8100 S WESTERN AVE
CHICAGO, IL
ZIP 60620
Phone: (773) 434-6070
Get Directions

HOLISTIC COMMUNITY OUTREACH CENTER INC. is an adult day care clinic center in Chicago, IL. HOLISTIC COMMUNITY OUTREACH CENTER INC. NPI is 1841555620. The provider is registered as an organization entity type.
The provider Other Name Is Fountain Of Life.

The provider's business location address is:

8100 S WESTERN AVE
CHICAGO, IL
ZIP 60620-937
Phone: (773) 434-6070
Fax: (773) 434-6382

The provider's authorized official is Thelma Jean Conner .
The authorized official title is Administrator and has the following contact phone number (773) 434-6370.

The enumeration date for this NPI number is 7/9/2012 and was last updated on 8/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	311500000X	Alzheimer Center (Dementia Center)				No
2	261QA0600X	Clinic/Center	Adult Day Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »