Fort Care, Llc
LBN: Fort Care, Llc
Fort Care, Llc is an health care organization with primary practice located at 2821 S Harlem Ave Ste 9 , Berwyn IL 60402-5273. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Health Service, Laboratories / Clinical Medical Laboratory. Ambulatory Health Care Facilities / Health Service is the primary health care specialty.
Fort Care, Llc can be contacted via phone (800) 897-4575, or through Fort, Lateisha Nicole via phone (708) 668-6971.
Contact Information
Primary practice address
2821 S Harlem Ave Ste 9
Berwyn IL 60402-5273
Phone: (800) 897-4575
Fax: (800) 306-9509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Community Health | 261QC1500X | ||
| Ambulatory Health Care Facilities / Health Service | 261QH0100X | ||
| Laboratories / Clinical Medical Laboratory | 291U00000X |
Profile Details
| NPI number | 1841906047 |
|---|---|
| LBN Legal business name | Fort Care, Llc |
| DBA Doing business as | |
| Authorized official | Fort, Lateisha Nicole APRN-FPA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 31st, 2023 |
| Last updated | Jul 21st, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841906047 | NPPES |
| Illinois | Other | 14D2284487 | CMS CLIA CERTIFICATE OF WAIVER |
| Illinois | Other | 248004959 | CMS CLIA CERTIFICATE OF WAIVER |
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