FORT CARE LLC NPI 1841906047

NPI Information

  • NPI: 1841906047
  • Provider Name: FORT CARE, LLC
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • CLIA Number: 14D2284487
  • Address: 18241 WEST ST STE 209
    LANSING, IL
    ZIP 60438
  • Phone: (800) 897-4575

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NPI Details

FORT CARE, LLC is a health service clinic center in Lansing, IL. FORT CARE, LLC NPI is 1841906047. The provider is registered as an organization entity type.

The provider's business location address is:

18241 WEST ST STE 209
LANSING, IL
ZIP 60438-200
Phone: (800) 897-4575
Fax: (800) 306-9509

The provider's authorized official is Lateisha Nicole Fort .
The authorized official title is Ceo/provider and has the following contact phone number (708) 668-6971.

The CLIA number assigned to this NPI record is 14D2284487 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/31/2023 and was last updated on 11/3/2024.

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
1261QC1500XClinic/CenterCommunity HealthNo
2261QH0100XClinic/CenterHealth ServiceYes
3291U00000XClinical Medical LaboratoryNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1248004959OTHERILLINOISDEPARTMENT OF FINANCIAL & PROFESSIONAL REGULATION
214D2284487OTHERILLINOISCMS CLIA CERTIFICATE OF WAIVER

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: 11/21/2025

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