1863Fwd Care 2 Care Nfp

LBN: 1863Fwd Care 2 Care Nfp
1863Fwd Care 2 Care Nfp is an health care organization with primary practice located at 243 W 95Th St , Chicago IL 60628-1375. The organization recently has 7 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center), Transportation Services / Non-emergency Medical Transport (VAN), Transportation Services / Private Vehicle, Transportation Services / Transportation Broker. Agencies / Community/Behavioral Health is the primary health care specialty. 1863Fwd Care 2 Care Nfp can be contacted via phone (708) 491-3303, or through Rollins, Jataun via phone (708) 491-3303.

Contact Information

Primary practice address
243 W 95Th St Chicago IL 60628-1375
Phone: (708) 491-3303
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rollins, Jataun Licensed Clinical Social Worker (LCSW)
Phone: (708) 491-3303

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) 311500000X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X
Transportation Services / Private Vehicle 347C00000X
Transportation Services / Transportation Broker 347E00000X

Profile Details

NPI number 1790472355
LBN Legal business name 1863Fwd Care 2 Care Nfp
DBA Doing business as
Authorized official Rollins, Jataun Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2023
Last updated Apr 24th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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