Heartland Health Centers

LBN: Tapestry 360 Health
Heartland Health Centers is an health care organization with primary practice located at 3436 West Wilson Avenue , Chicago IL 60625-5318. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Physician Assistants & Advanced Practice Nursing Providers / Community Health. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Tapestry 360 Health can be contacted via phone (773) 866-0818, or through Willis, Nicole via phone (773) 751-7800.

Contact Information

Primary practice address
3436 West Wilson Avenue Chicago IL 60625-5318
Phone: (773) 866-0818
Fax: (773) 866-9069
Website:
Map and Directions
Authorized official contact:
Name: Willis, Nicole
Phone: (773) 751-7800

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Physician Assistants & Advanced Practice Nursing Providers / Community Health 363LC1500X 004 Illinois

Profile Details

NPI number 1700044039
LBN Legal business name Tapestry 360 Health
DBA Doing business as Heartland Health Centers
Authorized official Willis, Nicole
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2008
Last updated Oct 4th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700044039 NPPES
Illinois MEDICAID 004

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