PUERTO RICAN CULTURAL CENTER (NPI# 1629456363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629456363 |
| Entity Type | Organization |
| Organization Name | PUERTO RICAN CULTURAL CENTER |
| Practice Address |
2640 W Division St Chicago IL 60622-2850 |
| Practice Telephone | 7732786737 |
| Practice Fax Number | 7732786753 |
| Mailing Telephone | 7732786737 |
| Mailing Fax Number | 7732786753 |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |
| Authorized Official Name | MR. JORGE CESTOU (DIRECTOR, PROGRAMS AND SERVICES VS) |
| Authorized Official Telephone | 7732786737 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | 2015 | IL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | CLIA WAIVER | 14D1023971 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PUERTO RICAN CULTURAL CENTER | 2739 W Div St, Chicago, IL 60622-2854 |
| Street Address |
2640 W DIVISION ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60622-2850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447880471 | Erikson Institute | Clinic/Center | 2739 W Division St, Chicago, IL 60622 | 2020-01-17 |
| 1720620545 | Emily Claire Bonanno | Counselor | 1397 N Miwaukee Ave, Chicago, IL 60622 | 2019-10-14 |
| 1891342093 | Taylor Mallon | Speech-Language Pathologist | 8870 South Duffy Avenue, Apartment 406, Chicago, IL 60622 | 2019-08-22 |
| 1083260277 | Maggie Inman | Student in an Organized Health Care Education/Training Program | 1431 N Claremont Avenue, 2nd Floor Pavilion, Chicago, IL 60622 | 2019-08-13 |
| 1174176168 | Karol Maricel Quelal Analuisa | Internal Medicine | 1901 W Harrison, Chicago Il 60612-3714, Chicago, IL 60622 | 2019-07-19 |
| 1073076105 | Nichole Galullo | Social Worker | 1431 N Claremont 2nd Floor, Chicago, IL 60622 | 2019-04-06 |
| 1003375122 | Alfredo Delgado Perez Sr. | Psychologist | 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 | 2019-03-18 |
| 1841773439 | Abigail Hector | Counselor | 1521 N Milwaukee Ave, 3n, Chicago, IL 60622 | 2018-09-11 |
| 1164916144 | Dorothy Mitkowski | Student in an Organized Health Care Education/Training Program | 1127 N. Oakley Blvd., 2nd Floor, Chicago, IL 60622 | 2018-06-21 |
| 1255825121 | Kara Lynn Daniel | Speech-Language Pathologist | 1540 N Artesian Ave Apt 2r, Chicago, IL 60622 | 2018-06-14 |
| Find all providers in zip 60622 | ||||
| Taxonomy Code | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295352888 | Marcus E. Windhom Sr. | Community Health Worker | 7736 S Kimbark Ave, Chicago, IL 60619-3429 | 2020-06-29 |
| 1346801610 | Vas Networking Services | Community Health Worker | 6330 S King Drive Ave, Chicago, IL 60637-3115 | 2019-06-26 |
| 1598322026 | Diane Lakita Dotson | Community Health Worker | 9211so. Laflin, 2a, Chicago, IL 60620-6504 | 2019-05-21 |
| 1497293229 | Yolanda Zoleta | Community Health Worker | 6323 N Avondale Ave Ste 102, Chicago, IL 60631-1958 | 2017-01-31 |
| 1922456938 | Michelle Duchin | Community Health Worker | 1615 N Wolcott Ave Apt 301, Chicago, IL 60622-1380 | 2016-05-31 |
| 1194173690 | Willa Gregg | Community Health Worker | 1457 N Linder Ave, Chicago, IL 60651-1233 | 2016-05-25 |
| 1902123797 | Laurie Leigh Towne | Community Health Worker | 55 W Delaware Pl, #517, Chicago, IL 60610-3388 | 2010-05-03 |
| 1295971901 | Katrina Marie Mason | Community Health Worker | 9906 S Sangamon St, Chicago, IL 60643-2209 | 2008-12-30 |
| 1891959326 | Amir Sheikh | Community Health Worker | 2830 W Cermak Rd, Chicago, IL 60623 | 2008-07-14 |
| 1649836503 | Sandrea Townsend | Community Health Worker | 1900 W Harrison St, Chicago, IL 60612-3736 | 2019-05-16 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.