ELEMENTAL CENTER CARES INC. NPI 1912528852

NPI Information

NPI: 1912528852
Provider Name: ELEMENTAL CENTER CARES INC.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
612 S WESTERN AVE APT 1
CHICAGO, IL
ZIP 60612
Phone: (708) 364-0580
Get Directions

ELEMENTAL CENTER CARES INC. is a mental health (including community mental health center) clinic center in Chicago, IL. ELEMENTAL CENTER CARES INC. NPI is 1912528852. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

612 S WESTERN AVE APT 1
CHICAGO, IL
ZIP 60612-682
Phone: (708) 364-0580
Fax: (708) 364-0480

The provider's authorized official is Martins Adeoye .
The authorized official title is President and has the following contact phone number (708) 364-0580.

The enumeration date for this NPI number is 5/1/2020 and was last updated on 5/1/2020.

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	Primary
1	2084P0800X	Psychiatry & Neurology	Psychiatry	No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	No
3	261QM0850X	Clinic/Center	Adult Mental Health	No
4	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
5	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	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: 11/14/2023

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 »