Organization Active NPI

Community Development Enterprises, Inc

Doing business as Health Elements

  • Health Maintenance Organization
  • Country Club Hills, IL
National Provider Identifier
1063887107
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
4089-1003 Issued in IL
Legal business name
COMMUNITY DEVELOPMENT ENTERPRISES, INC
Doing business as
Health Elements
Practice address
4740 183Rd St
Country Club Hills, IL 60478-5212
Phone
(708) 769-2214
NPI assigned
Dec 1, 2015
Last updated
Dec 1, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALTH ELEMENTSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Authorized official

Name
Dr. Patricia Washington, DAOMNPI 1447626973
Title
Ceo
Phone
(312) 842-1229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 4089-1003 IL Primary

Addresses

Primary practice location

4740 183Rd St
Country Club Hills, IL 60478-5212

Mailing address

79 E 16TH St
Chicago, IL 60616-5520
Phone (312) 842-1229

Other names 1

  • Health Elements Doing business as

National Provider Directory

National Provider Directory
Part of
Health Elements

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1063887107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 E 16TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606165520",
            "telephone_number": "312-842-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 183RD ST",
            "city": "COUNTRY CLUB HILLS",
            "state": "IL",
            "postal_code": "604785212",
            "telephone_number": "708-769-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY DEVELOPMENT ENTERPRISES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH ELEMENTS",
        "enumeration_date": "2015-12-01",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-842-1229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DAOM"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "IL",
            "license": "4089-1003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Elements",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Country Club Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.