BELOVED COMMUNITY FAMILY WELLNESS CENTER
NPI 1760408439
Clinic/Center - Primary Care in Chicago, IL

Active since July 14, 2006
6821 S HALSTED ST, CHICAGO, IL 60621(773) 765-1382(773) 651-3648 Get Directions Write a Review

NPPES record last updated: October 20, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Beloved Community Family Wellness Center NPPES

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

BELOVED COMMUNITY FAMILY WELLNESS CENTER (NPI 1760408439) is a healthcare organization registered as a primary care in Chicago, Illinois and active in the NPI registry since July 2006. The organization lists Margie Johnson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1760408439
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBELOVED COMMUNITY FAMILY WELLNESS CENTER
Location Address6821 S HALSTED STChicago, IL 60621-1833
Mailing Address326 W 64th StChicago, IL 60621-3114 · (773) 651-3828 · Fax (773) 651-3648
Fax(773) 651-3648
Organization SubpartNo
Authorized OfficialMargie JohnsonExecutive Director · (773) 651-3828
Enumeration DateJuly 14, 2006
Last NPPES UpdateOctober 20, 2011
✔ NPI 1760408439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in IL · 261QP2300X
6821 S HALSTED ST, Chicago, IL 60621

Other Identifiers 2

Medicare PIN14-1075IL
Medicaid=========0001IL

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beloved Community Family Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

41

Medicare enrollment records show 41 clinicians reassign Medicare billing to Beloved Community Family Wellness Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 15 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Nurse Practitioner15
Family Practice8
Clinical Social Worker6
Dentist4
Mental Health Counselor2
Obstetrics/Gynecology2
Pediatric Medicine2
Optometry1
1 other specialty1

Nearest to this location (20)

See all 41
Nurse Practitioner
NPI 1205217312
6821 S HALSTED ST
Chicago, IL 60621
(773) 651-3629
✔ PECOSSame address
Nurse Practitioner
NPI 1629895768
6821 S HALSTED ST
Chicago, IL 60621
(773) 651-3629
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1134887623
9718 S HALSTED ST
Chicago, IL 60628
(773) 233-4100
✔ PECOS✔ Accepts Medicare3.7 mi
Family Practice
NPI 1801418975
2210 W 95TH ST
Chicago, IL 60643
(773) 341-3500
✔ PECOS✔ Accepts Medicare3.8 mi
Dentist
NPI 1801230438
5050 S KEDZIE AVE
Chicago, IL 60632
(773) 778-2200
✔ PECOS3.8 mi
Family Practice
NPI 1154345635
3525 S MICHIGAN AVE
Chicago, IL 60653
(312) 945-4010
✔ PECOS4.3 mi
Clinical Social Worker
NPI 1164279790
1401 W 109TH PL APT 1
Chicago, IL 60643
(773) 556-4387
✔ PECOS✔ Accepts Medicare5.2 mi
Mental Health Counselor
NPI 1114457611
1136 S DELANO CT W STE B201
Chicago, IL 60605
(773) 875-9060
✔ PECOS6.9 mi
Clinical Social Worker
NPI 1548611791
2310 W ROOSEVELT RD
Chicago, IL 60608
(312) 655-7092
✔ PECOS7.0 mi
Clinical Social Worker
NPI 1881360584
12204 GREGORY ST
Blue Island, IL 60406
(708) 369-0960
✔ PECOS7.0 mi
Pediatric Medicine
NPI 1700905981
1901 W HARRISON ST
Chicago, IL 60612
(312) 864-0462
✔ PECOS7.3 mi
Dentist
NPI 1922485317
25 E WASHINGTON ST STE 2041
Chicago, IL 60602
(312) 236-9322
✔ PECOS7.9 mi
Obstetrics/Gynecology
NPI 1326058736
1276 N CLYBOURN AVE
Chicago, IL 60610
(312) 337-1073
✔ PECOS9.3 mi
Obstetrics/Gynecology
NPI 1508882846
1044 N MOZART ST STE 404
Chicago, IL 60622
(773) 292-8334
✔ PECOS✔ Accepts Medicare9.4 mi
Optometry
NPI 1871889196
11412 S HARLEM AVE
Worth, IL 60482
(708) 422-7000
✔ PECOS✔ Accepts Medicare9.9 mi
Family Practice
NPI 1588959050
7620 W 111TH ST
Palos Hills, IL 60465
(708) 425-9000
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1598120719
31 W 155TH ST
Harvey, IL 60426
(708) 596-5177
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1053855908
31 W 155TH ST
Harvey, IL 60426
(708) 596-5177
✔ PECOS✔ Accepts Medicare11 mi
Dentist
NPI 1649484353
4446 N WESTERN AVE STE 1
Chicago, IL 60625
(872) 208-5240
✔ PECOS14 mi
Clinical Social Worker
NPI 1093088379
9250 COLUMBIA AVE STE 2E
Munster, IN 46321
(219) 595-0043
✔ PECOS17 mi
See all 41 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beloved Community Family Wellness Center's NPI number?

The NPI number for Beloved Community Family Wellness Center is 1760408439. It was assigned to this organization in the NPPES registry on July 14, 2006.

Where is Beloved Community Family Wellness Center located?

Beloved Community Family Wellness Center is located at 6821 S Halsted St, Chicago, IL 60621. The listed phone number is (773) 765-1382.

What is Beloved Community Family Wellness Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Beloved Community Family Wellness Center enrolled in Medicare?

Yes. Beloved Community Family Wellness Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beloved Community Family Wellness Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 41 clinicians in 9 Medicare specialties reassign their Medicare billing to Beloved Community Family Wellness Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (15), Family Practice (8) and Clinical Social Worker (6). Of these, 2 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Beloved Community Family Wellness Center was last updated on October 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.