BELOVED COMMUNITY FAMILY WELLNESS CTR
NPI 1013326586
Health Maintenance Organization in Chicago, IL

NPI Status: Active since August 08, 2014

Contact Information

6821 S HALSTED ST
CHICAGO, IL
ZIP 60621
Phone: (773) 651-3629
Fax: (773) 322-1599

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  • Health Maintenance Organization

About BELOVED COMMUNITY FAMILY WELLNESS CTR

This page provides the complete NPI Profile along with additional information for Beloved Community Family Wellness Ctr, a provider established in Chicago, Illinois operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1013326586 assigned on August 2014. The practitioner's primary taxonomy code is 302R00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Ms. Margie Johnson (Executive Director)

NPI
1013326586
Provider Name
BELOVED COMMUNITY FAMILY WELLNESS CTR
Entity Type
Organization
Location Address
6821 S HALSTED ST CHICAGO, IL 60621
Location Phone
(773) 651-3629
Location Fax
(773) 322-1599
Mailing Address
6821 S HALSTED ST CHICAGO, IL 60621
Mailing Phone
(773) 651-3629
Mailing Fax
(773) 322-1599
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-08-2014
Last Update Date
08-08-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Health Maintenance Organization

Taxonomy Code
302R00000X
Type
Managed Care Organizations
Taxonomy Description
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. MARGIE JOHNSON

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(773) 651-3629

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
=========001MEDICAID (05)IL 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013326586
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20236212516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 6 + 2 + 1 + 2 + 5 + 1 + 6 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1013326586 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

BELOVED COMMUNITY FAMILY WELLNESS CENTER

Clinic/Center

(Primary Care)

6821 S HALSTED ST
CHICAGO, IL
ZIP 60621

(773) 765-1382

BELOVED COMMUNITY FAMILY WELLNESS CTR

Dietetic Technician, Registered

6821 S HALSTED ST
CHICAGO, IL
ZIP 60621

(773) 651-3629

MS. DEMERIAL MOORE

Registered Nurse

6821 S HALSTED ST
CHICAGO, IL
ZIP 60621

(773) 651-3629

ALEKSANDRA WIAK REGISTERED DIETITIAN

Dietitian, Registered

6821 S HALSTED ST
CHICAGO, IL
ZIP 60621

(773) 651-3629

ELLA CECILIA HERAS

Nurse Practitioner

(Primary Care)

6821 S HALSTED ST
CHICAGO, IL
ZIP 60621

(773) 651-3629

NITA MARCHANT

Counselor

(Addiction (Substance Use Disorder))

6821 S HALSTED ST
CHICAGO, IL
ZIP 60621

(773) 651-3629

BELOVED COMMUNITY FAMILY WELLNESS CENTER

Community/Behavioral Health

6821 S HALSTED ST
CHICAGO, IL
ZIP 60621

(773) 651-3629

LARITA SMITH RDH

Dental Hygienist

6821 S HALSTED ST
CHICAGO, IL
ZIP 60621

(773) 651-3629

BELOVED COMMUNITY FAMILY WELLNESS CENTER

Clinic/Center

(Federally Qualified Health Center (FQHC))

6821 S HALSTED ST
CHICAGO, IL
ZIP 60621

(773) 651-3629

KATHLEEN LOUISE KALLEND RD LDN

Dietitian, Registered

6821 S HALSTED ST
CHICAGO, IL
ZIP 60621

(773) 651-3629

OYEYEMI AROTILE

Registered Nurse

6821 S HALSTED ST
CHICAGO, IL
ZIP 60621

(773) 651-3629

JAMELLA SIMS

Registered Nurse

6821 S HALSTED ST
CHICAGO, IL
ZIP 60621

(773) 651-3629

MS. CATHERINE DENICE COLEMAN RN

Registered Nurse

6821 S HALSTED ST
CHICAGO, IL
ZIP 60621

(773) 651-3629

ZELMARION DUNN

Registered Nurse

6821 S HALSTED ST
CHICAGO, IL
ZIP 60621

(773) 651-3629

KHADIJAH SUMMERS

Registered Nurse

6821 S HALSTED ST
CHICAGO, IL
ZIP 60621

(773) 651-3629

NAILA PARHAM

Registered Nurse

6821 S HALSTED ST
CHICAGO, IL
ZIP 60621

(773) 651-3629

FAUSTINA ADENUGA

Nurse Practitioner

(Psychiatric/Mental Health)

6821 S HALSTED ST
CHICAGO, IL
ZIP 60621

(773) 651-3629

TALY KAZIMIRSKY

Dietitian, Registered

6821 S HALSTED ST
CHICAGO, IL
ZIP 60621

(773) 651-3629

LENITA WEATHERSBY

Registered Nurse

(General Practice)

6821 S HALSTED ST
CHICAGO, IL
ZIP 60621

(773) 651-3629

ALICE CERVANTES RN

Registered Nurse

(General Practice)

6821 S HALSTED ST
CHICAGO, IL
ZIP 60621

(773) 651-3629

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013326586, enumerated as an "organization" on August 08, 2014.

The provider is located at 6821 S HALSTED ST CHICAGO, IL 60621 and the phone number is (773) 651-3629.

Health Maintenance Organization with taxonomy code 302R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.