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1863FWD CARE 2 CARE NFP NPI 1790472355


NPI Information

NPI: 1790472355
Provider Name: 1863FWD CARE 2 CARE NFP
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
243 W 95TH ST
CHICAGO, IL
ZIP 60628
Phone: (708) 491-3303
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1863FWD CARE 2 CARE NFP is a community behavioral health in Chicago, IL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. 1863FWD CARE 2 CARE NFP NPI is 1790472355. The provider is registered as an organization entity type.

The provider's business location address is:

243 W 95TH ST
CHICAGO, IL
ZIP 60628-375
Phone: (708) 491-3303

The provider's authorized official is Jataun Rollins .
The authorized official title is Ceo and has the following contact phone number (708) 491-3303.

The enumeration date for this NPI number is 4/24/2023 and was last updated on 4/24/2023.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
3311500000XAlzheimer Center (Dementia Center)No
4343900000XNon-emergency Medical Transport (VAN)No
5347C00000XPrivate VehicleNo
6347E00000XTransportation BrokerNo
7251S00000XCommunity/Behavioral HealthYes

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: 5/5/2024

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.