NPIMap

Organization Active NPI

Greater Family Health

  • Federally Qualified Health Center (FQHC)
  • Palatine, IL
National Provider Identifier
1033860424
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
GREATER FAMILY HEALTH
Practice address
345 W Northwest Hwy
Palatine, IL 60067-2414
Phone
(844) 599-3700
NPI assigned
Jan 17, 2022
Organization subpart
Yes
Parent organization
GREATER FAMILY HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marlen Hurtado
Title
Billing Lead
Phone
(847) 608-6318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

345 W Northwest Hwy
Palatine, IL 60067-2414

Mailing address

370 Summit St
Elgin, IL 60120-3843
Phone (844) 599-3700

Other names 1

  • Greater Elgin Family Care Center Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230103001244 IL Part A Provider - Federally Qualified Health Center (FQHC) 9931018769 Practice locations: Palatine, IL

Federally qualified health center certification: CCN 141800

Legal name
GREATER FAMILY HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 17, 2022
Last certification
Nov 17, 2022
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 28, 1998 in IL
Enrollment address
345 W Northwest Hwy
Palatine, IL 60067-2414

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Greter Elgin Family Care Center85 organizations share this tax ID, including this one
Part of
Greter Elgin Family Care Center

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jason Carey Individual Corporate OfficerChief Financial Officer Jan 26, 2009 100%
W-2 Managing EmployeeChief Financial Officer Jan 26, 2009

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1033860424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 SUMMIT ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601203843",
            "telephone_number": "844-599-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 W NORTHWEST HWY",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600672414",
            "telephone_number": "844-599-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER FAMILY HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREATER FAMILY HEALTH",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A",
        "authorized_official_last_name": "HURTADO",
        "authorized_official_first_name": "MARLEN",
        "authorized_official_title_or_position": "BILLING LEAD",
        "authorized_official_telephone_number": "847-608-6318"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Elgin Family Care Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Palatine, IL

Sources for this page

Verify at the official NPI Registry.