NPIMap

Organization Active NPI

4D Care Assist Foundation

  • Clinic/Center
  • Chicago, IL
National Provider Identifier
1144803438
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
4D CARE ASSIST FOUNDATION
Doing business as
4D Care Assist Foundation
Practice address
401 N Michigan Ave, Suite 1740
Chicago, IL 60611
Phone
(224) 633-9472
Fax
(630) 857-9069
NPI assigned
May 4, 2021
Last updated
May 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Authorized official

Name
Nikki Orth
Title
Financial Director
Phone
(847) 309-4874

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

401 N Michigan Ave, Suite 1740
Chicago, IL 60611

Mailing address

401 N Michigan Ave, Suite 1740
Chicago, IL 60611
Phone (224) 633-9472

Other names 1

  • 4D Care Assist Foundation Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://app.4dhealthware.com/ Direct 4D Healthware, LLC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1144803438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N MICHIGAN AVE, SUITE 1740",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60611",
            "telephone_number": "224-633-9472",
            "fax_number": "630-857-9069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N MICHIGAN AVE, SUITE 1740",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60611",
            "telephone_number": "224-633-9472",
            "fax_number": "630-857-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4D CARE ASSIST FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "ORTH",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "FINANCIAL DIRECTOR",
        "authorized_official_telephone_number": "847-309-4874"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://app.4dhealthware.com/",
            "affiliation": "Y",
            "affiliationName": "4D Healthware, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "401 N Michigan Ave, Suite 1740",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "4D Care Assist Foundation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.