PRIDE ROC (NPI# 1922697143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922697143 |
Entity Type | Organization |
Organization Name | PRIDE ROC |
Practice Address | 765 W 69th St Chicago IL 60621-2435 |
Practice Telephone | 3128609552 |
Mailing Address | Po Box 15232 Chicago IL 60615-5141 |
Certification Date | 2020-12-21 |
Enumeration Date | 2021-01-12 |
Last Update Date | 2021-01-12 |
Authorized Official Telephone | 3128609552 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Street Address | 765 W 69TH ST |
City | CHICAGO |
State | IL |
Zip Code | 60621-2435 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740803394 | Conrad Care Incorporated | Home Health | 142 W . 62nd Street, Suite 203, Chicago, IL 60621 | 2020-05-18 |
1275068876 | St. Bernard Hospital Ambulatory Care Clinic | Clinic/Center | 6307 S Stewart, Chicago, IL 60621 | 2017-04-21 |
1063954519 | Created2careltd | Secured Medical Transport (VAN) | 5632 S. Emerald Ave, Chicago, IL 60621 | 2016-11-15 |
1932566023 | Windycitywheelchairservice | Technician, Other | 6427 S Parnell Ave, Chicago, IL 60621 | 2016-01-21 |
1194127787 | Aaa-1 Transportation | Secured Medical Transport (VAN) | 5740 S Emerald Ave, Chicago, IL 60621 | 2014-09-25 |
1871893859 | Anuj Jain | Family Medicine | 6508 S Halsted Street, Chicago, IL 60621 | 2010-10-25 |
1750538104 | Adolfo M. Maglaya, M.d., S.c. | Internal Medicine | 326 W. 64th St., Chicago, IL 60621 | 2008-08-27 |
1083882997 | Englewood Satellite Senior Center | Clinic/Center | 657 W. 63rd St, Chicago, IL 60621 | 2008-02-13 |
1295952059 | Carrington Radiology, S.c. | Radiology · Diagnostic Radiology | St. Bernard Hospital, 326 W. 64th Street, 2nd Floor (radiology Department), Chicago, IL 60621 | 2007-04-20 |
1851427660 | Dilipkumar Parikh Md | Internal Medicine · Cardiovascular Disease | 324 West 64th St, Suite 216, Chicago, IL 60621 | 2007-02-26 |
Find all providers in zip 60621 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013507433 | Chicago Mental and Lifewellness Institute | 4645 S King Dr, Chicago, IL 60653-4148 | 2021-01-20 | |
1285230110 | Guided Hands Foundation | 1074 W Taylor St # 238, Chicago, IL 60607-4336 | 2020-12-07 | |
1336753896 | Counseling Kennedy Shenberg | 5752 N Campbell Ave Apt 1, Chicago, IL 60659-5080 | 2020-09-02 | |
1700498573 | Bobby E. Wright Comprehensive Behavioral Health Center, Inc. | 5816 W Division St Fl 1, Chicago, IL 60651-1003 | 2020-08-21 | |
1164030557 | Acorn & Oak Counseling Pllc | 1333 W Devon Ave Ste 319, Chicago, IL 60660-1329 | 2020-07-21 | |
1144848300 | Marathon Mindset Counseling LLC | 1650 W Adams St Apt 304, Chicago, IL 60612-3209 | 2020-07-13 | |
1417586678 | Invisions Behavioral Health LLC | 8211 S Woodlawn Ave, Chicago, IL 60619-4519 | 2020-04-08 | |
1871124784 | Nurture Therapy, LLC | 3711 N Ravenswood Ave Ste 146, Chicago, IL 60613-5944 | 2020-01-29 | |
1962032086 | Bucktown Therapy | 1820 W Webster Ave Ste 200, Chicago, IL 60614-2934 | 2020-01-16 | |
1770121436 | Guided Expressions LLC | 6640 S University Ave Apt 2, Chicago, IL 60637-4320 | 2019-12-12 | |
Find all providers in CHICAGO |
City | CHICAGO |
Zip Code | 60621 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659791424 | Tiffany Marie Roberts | Nurse Practitioner · Pediatrics | 13700 Pride Port Hudson Rd, Pride, LA 70770-9200 | 2014-04-21 |
1265400451 | Pride Ambulance Company · Pride Care | Ambulance · Land Transport | 208 Crutchfield Ave, Nashville, TN 37210-4710 | 2006-03-14 |
1689946394 | Leslie Jane Johnson-Simmons | Social Worker · School | 13700 Pride Port Hudson Rd, Pride, LA 70770-9200 | 2012-01-27 |
1619165099 | Hopkins County Health Department · Pride Avenue School | Public Health or Welfare | 861 Pride Ave, Madisonville, KY 42431-1275 | 2007-10-10 |
1568566511 | Pride Medical Inc · Pride Pharmacy | Pharmacy | 3280 Howell Mill Rd Nw, Suite 326, Atlanta, GA 30327-4111 | 2006-09-12 |
1396702361 | Pride Ems LLC · Pride Ems | Ambulance · Land Transport | 6010 Milwee St, Houston, TX 77092-6216 | 2006-04-26 |
1427275502 | Health Care Centers In Schools · Hcs-Northeast Elementary School | Clinic/Center | 13801 Pride-Port Hudson Road, Pride, LA 70770 | 2007-04-19 |
1891913661 | Health Care Centers In Schools · Hcs-Northeast High School | Clinic/Center | 13700 Pride-Port Hudson Road, Pride, LA 70770 | 2007-04-24 |
1366557092 | Promise Pride Enterprises Inc · Promise Pride Community Services | Technician · Personal Care Attendant | 5100 Groom Road, Baker, LA 70714-3124 | 2006-08-21 |
1316129828 | Promise Pride Enterprises, Inc. · Promise Pride Adult Day Healthcare Center | Clinic/Center · Adult Day Care | 5100 Groom Rd, Baker, LA 70714-3124 | 2007-11-27 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.