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

Active since August 08, 2014CLIA 14D2051690 · Waiver
6821 S HALSTED ST, CHICAGO, IL 60621(773) 651-3629(773) 322-1599 Get Directions Write a Review

NPPES record last updated: August 8, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Beloved Community Family Wellness Ctr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BELOVED COMMUNITY FAMILY WELLNESS CTR (NPI 1013326586) is a healthcare organization registered as a health maintenance organization in Chicago, Illinois and active in the NPI registry since August 2014. The organization holds a CLIA Waiver certificate valid through December 25, 2026 and lists Margie Johnson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1013326586
Entity TypeOrganization
Primary Taxonomy302R00000X
Legal Business NameBELOVED COMMUNITY FAMILY WELLNESS CTR
Location Address6821 S HALSTED STChicago, IL 60621-1833
Mailing Address6821 S Halsted StChicago, IL 60621-1833 · (773) 651-3629 · Fax (773) 322-1599
Fax(773) 322-1599
Organization SubpartNo
Authorized OfficialMargie JohnsonExecutive Director · (773) 651-3629
Enumeration DateAugust 8, 2014
NPI 1013326586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHealth Maintenance OrganizationManaged Care Organizations
Taxonomy Code302R00000X
Definition

(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.

6821 S HALSTED ST, Chicago, IL 60621

Other Identifiers 1

Medicaid=========001IL

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2051690

Beloved Commty Family Wellness Ctr-Bl · Blue Island, IL
Active · expires Dec 25, 2026
CLIA Number14D2051690
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateDecember 26, 2024
Certificate Expiration DateDecember 25, 2026
Laboratory DirectorLaura J. Lucero
Laboratory Phone(773) 651-3629
Laboratory LocationBeloved Commty Family Wellness Ctr-Bl2338 New St, Blue Island, IL 60406
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D1056875

Beloved Community Family Wellness Ctr · Chicago, IL
Expired · Jul 26, 2026
CLIA Number14D1056875
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 27, 2024
Certificate Expiration DateJuly 26, 2026
Laboratory DirectorLaura J. Lucero M D
Laboratory Phone(773) 651-3629
Laboratory LocationBeloved Community Family Wellness Ctr6821 S Halsted St, Chicago, IL 60621
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Primary Care)
6821 S HALSTED ST
CHICAGO, IL 60621
Dietetic Technician, Registered
6821 S HALSTED ST
CHICAGO, IL 60621
Registered Nurse
6821 S HALSTED ST
CHICAGO, IL 60621
Dietitian, Registered
6821 S HALSTED ST
CHICAGO, IL 60621
Nurse Practitioner (Primary Care)
6821 S HALSTED ST
CHICAGO, IL 60621
Counselor (Addiction (Substance Use Disorder))
6821 S HALSTED ST
CHICAGO, IL 60621
Community/Behavioral Health
6821 S HALSTED ST
CHICAGO, IL 60621
Dental Hygienist
6821 S HALSTED ST
CHICAGO, IL 60621

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.