PROVISO LEYDEN COUNCIL FOR COMMUNITY ACTION
NPI 1457539223
Community/Behavioral Health in Maywood, IL

Q: What is Plcca,inc.'s NPI number?

The NPI number for Plcca,inc. is 1457539223. It was assigned to this organization in the NPPES registry on February 4, 2008. The provider is doing business as Proviso Leyden Council For Community Action.

Q: What is Plcca,inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Plcca,inc. was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 04, 2008

411 MADISON ST, MAYWOOD, IL 60153(708) 450-3500(708) 236-5186 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Proviso Leyden Council For Community Action NPPES

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

PROVISO LEYDEN COUNCIL FOR COMMUNITY ACTION (NPI 1457539223) is a healthcare organization registered as a community/behavioral health in Maywood, Illinois and active in the NPI registry since February 2008. The organization lists Claude Porter, Pastor, as its authorized official.

NPPES Registry Identity

NPI1457539223

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NamePLCCA,INC.

Location Address411 MADISON STMaywood, IL 60153-2136

Mailing Address411 Madison StMaywood, IL 60153-2136 · (708) 450-3500 · Fax (708) 236-5186

Phone(708) 450-3500

Fax(708) 236-5186

Organization SubpartYes

Authorized OfficialClaude PorterPastor · (708) 450-3506

Enumeration DateFebruary 4, 2008

Last NPPES UpdateApril 20, 2008

✔ NPI 1457539223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in IL · 0-577-0183-P

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

411 MADISON ST, Maywood, IL 60153

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Other Names 1

Doing Business AsProviso Leyden Council For Community Action

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Other Providers at the Same Location NPPES 8

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

JAKE CLIFTON KELOW III LSW/CADC/ATE/COPD I

Social Worker (Clinical)