Fountain Of Life

LBN: Holistic Community Outreach Center Inc.
Fountain Of Life is an health care organization with primary practice located at 8100 S Western Ave , Chicago IL 60620-5937. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Day Care, Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center). Ambulatory Health Care Facilities / Adult Day Care is the primary health care specialty. Holistic Community Outreach Center Inc. can be contacted via phone (773) 434-6070, or through Conner, Thelma Jean via phone (773) 434-6370.

Contact Information

Primary practice address
8100 S Western Ave Chicago IL 60620-5937
Phone: (773) 434-6070
Fax: (773) 434-6382
Website:
Map and Directions
Authorized official contact:
Name: Conner, Thelma Jean Registered Nurse (RN)
Phone: (773) 434-6370

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X
Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) 311500000X

Profile Details

NPI number 1841555620
LBN Legal business name Holistic Community Outreach Center Inc.
DBA Doing business as Fountain Of Life
Authorized official Conner, Thelma Jean Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2012
Last updated Aug 8th, 2022 - about 2 years ago

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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