NPIMap

Organization Active NPI

Tapestry 360 Health

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
National Provider Identifier
1154640274
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
TAPESTRY 360 HEALTH
Practice address
3244 W Ainslie St
Chicago, IL 60625-5018
Phone
(773) 296-7589
NPI assigned
May 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Authorized official

Name
Nicole Willis
Title
Ceo
Phone
(773) 751-7800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 019027796 IL
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

3244 W Ainslie St
Chicago, IL 60625-5018

Mailing address

1301 W Devon Ave
Chicago, IL 60660-1329
Phone (773) 751-7800

Other names 2

  • Heartland Health Centers Doing business as
  • Tapestry 360 Health - Hibbard Elementary Other name

National Provider Directory

National Provider Directory
Tax ID family
Heartland Health Centers24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1154640274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601329",
            "telephone_number": "773-751-7800",
            "fax_number": "773-539-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3244 W AINSLIE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606255018",
            "telephone_number": "773-296-7589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAPESTRY 360 HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-28",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-751-7800"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027796",
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Health Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tapestry 360 Health - Hibbard Elementary",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 20, 2023; 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.