BELOVED COMMUNITY FAMILY WELLNESS CENTER


Address: 6821 S Halsted St, Chicago, IL 60621-1833
Phone: 7736513629

BELOVED COMMUNITY FAMILY WELLNESS CENTER (NPI# 1700337243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700337243
Entity Type Organization
Organization Name BELOVED COMMUNITY FAMILY WELLNESS CENTER
Practice Address 6821 S Halsted St
Chicago
IL 60621-1833
Practice Telephone 7736513629
Enumeration Date 2016-10-19
Last Update Date 2016-10-19
Authorized Official Name MS. MARGIE JOHNSON (EXECUTIVE DIRECTOR)
Authorized Official Telephone 7736513629
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251S00000X Community/Behavioral Health 31898 IL Agencies
Y 251S00000X Community/Behavioral Health 25812 IL Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1114278009 Beloved Community Family Wellness Center Clinic/Center 3518 W 139th St, Robbins, IL 60472-2002 2012-10-02
1760408439 Beloved Community Family Wellness Center Clinic/Center 6821 S Halsted St, Chicago, IL 60621-1833 2006-07-14
1144528167 Beloved Community Family Wellness Center Clinic/Center 6821 S Halsted St, Chicago, IL 60621-1833 2011-03-01

Office Location

Street Address 6821 S HALSTED ST
City CHICAGO
State IL
Zip Code 60621-1833

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760408439 Beloved Community Family Wellness Center Clinic/Center 6821 S Halsted St, Chicago, IL 60621-1833 2006-07-14
1942801873 Jamella Sims Registered Nurse 6821 S Halsted St, Chicago, IL 60621-1833 2020-11-06
1417555798 Oyeyemi Arotile Registered Nurse 6821 S Halsted St, Chicago, IL 60621-1833 2020-10-09
1750939476 Katherine M Farrar Social Worker 6821 S Halsted St, Chicago, IL 60621-1833 2019-08-27
1902379621 Vonnise Renee' Hussey Nurse Practitioner 6821 S Halsted St, Chicago, IL 60621-1833 2019-01-04
1659883916 Kathleen Louise Kallend Dietitian, Registered 6821 S Halsted St, Chicago, IL 60621-1833 2017-10-26
1720510258 Larita Smith Dental Hygienist 6821 S Halsted St, Chicago, IL 60621-1833 2017-04-03
1235689662 Nita Marchant Counselor 6821 S Halsted St, Chicago, IL 60621-1833 2016-10-10
1205217312 Ella Cecilia Heras Nurse Practitioner 6821 S Halsted St, Chicago, IL 60621-1833 2015-06-15
1346630514 Aleksandra Wiak Dietitian, Registered 6821 S Halsted St, Chicago, IL 60621-1833 2015-01-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740803394 Conrad Care Incorporated Home Health 142 W . 62nd Street, Suite 203, Chicago, IL 60621 2020-05-18
1275068876 St. Bernard Hospital Ambulatory Care Clinic Clinic/Center 6307 S Stewart, Chicago, IL 60621 2017-04-21
1063954519 Created2careltd Secured Medical Transport (VAN) 5632 S. Emerald Ave, Chicago, IL 60621 2016-11-15
1932566023 Windycitywheelchairservice Technician, Other 6427 S Parnell Ave, Chicago, IL 60621 2016-01-21
1194127787 Aaa-1 Transportation Secured Medical Transport (VAN) 5740 S Emerald Ave, Chicago, IL 60621 2014-09-25
1871893859 Anuj Jain Family Medicine 6508 S Halsted Street, Chicago, IL 60621 2010-10-25
1750538104 Adolfo M. Maglaya, M.d., S.c. Internal Medicine 326 W. 64th St., Chicago, IL 60621 2008-08-27
1083882997 Englewood Satellite Senior Center Clinic/Center 657 W. 63rd St, Chicago, IL 60621 2008-02-13
1295952059 Carrington Radiology, S.c. Radiology St. Bernard Hospital, 326 W. 64th Street, 2nd Floor (radiology Department), Chicago, IL 60621 2007-04-20
1851427660 Dilipkumar Parikh Md Internal Medicine 324 West 64th St, Suite 216, Chicago, IL 60621 2007-02-26
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336753896 Counseling Kennedy Shenberg Community/Behavioral Health 5752 N Campbell Ave Apt 1, Chicago, IL 60659-5080 2020-09-02
1700498573 Bobby E. Wright Comprehensive Behavioral Health Center, Inc. Community/Behavioral Health 5816 W Division St Fl 1, Chicago, IL 60651-1003 2020-08-21
1164030557 Acorn & Oak Counseling Pllc Community/Behavioral Health 1333 W Devon Ave Ste 319, Chicago, IL 60660-1329 2020-07-21
1144848300 Marathon Mindset Counseling LLC Community/Behavioral Health 1650 W Adams St Apt 304, Chicago, IL 60612-3209 2020-07-13
1417586678 Invisions Behavioral Health LLC Community/Behavioral Health 8211 S Woodlawn Ave, Chicago, IL 60619-4519 2020-04-08
1871124784 Nurture Therapy, LLC Community/Behavioral Health 3711 N Ravenswood Ave Ste 146, Chicago, IL 60613-5944 2020-01-29
1962032086 Bucktown Therapy Community/Behavioral Health 1820 W Webster Ave Ste 200, Chicago, IL 60614-2934 2020-01-16
1770121436 Guided Expressions LLC Community/Behavioral Health 6640 S University Ave Apt 2, Chicago, IL 60637-4320 2019-12-12
1063058279 Y Not Families Community/Behavioral Health 6427 S Ashland Ave, Chicago, IL 60636-2716 2019-11-22
1073156196 Black Tie Therapy Community/Behavioral Health 2232 N Wayne Ave Apt 1f, Chicago, IL 60614-8937 2019-10-21
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Competitor

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City CHICAGO
Zip Code 60621

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Dataset Information

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.

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