NPIMap

Organization Active NPI

Asian Human Services Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
National Provider Identifier
1164439279
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ASIAN HUMAN SERVICES FAMILY HEALTH CENTER, INC.
Practice address
6301 N Western Ave
Chicago, IL 60659-2009
Phone
(773) 761-0300
Fax
(773) 761-0008
NPI assigned
Aug 2, 2006
Last updated
Feb 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Authorized official

Name
Muhammad W Paracha, MD., MPH
Title
Ceo
Phone
(773) 761-0300

Specialties & licenses 1

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

Addresses

Primary practice location

6301 N Western Ave
Chicago, IL 60659-2009

Mailing address

6301 N Western Ave
Chicago, IL 60659-2009

Other identifiers 1

IdentifierTypeStateIssuer
PTAN IL1170OtherILWPS - MEDICARE PART B

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041013000686 IL Part B Supplier - Clinic/Group Practice 4385637537 Receives reassigned benefits from 22 practitioners
4 other NPIs on this enrollment
Practice locations: Skokie, IL; Niles, IL; Chicago, IL
O20100706000773 IL Part A Provider - Federally Qualified Health Center (FQHC) 4385637537 Practice locations: Chicago, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164439279. Details of each certification follow.

Federally qualified health center certification: CCN 141981

Legal name
ASIAN HUMAN SERVICES FAMILY HEALTH CENTER, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 13, 2004
Last certification
May 13, 2004
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Oct 17, 2001 in IL
Enrollment address
6301 N Western Ave
Chicago, IL 60659-2009

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Asian Human Services Family Health Center Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Muhammad M Khan Individual Corporate DirectorBoard Member Mar 1, 2021
Brenda Ahmed Individual Corporate DirectorBoard Member Jun 11, 2015
Fe Cabera Individual Corporate DirectorBoard Member Apr 19, 2018
Elsadig Elmahdi Individual Corporate DirectorBoard Member Jun 15, 2017
Ayesha Hussain Individual Contracted Managing Employee Jan 1, 2007
Muhammad W Paracha Individual Corporate OfficerCeo May 14, 2015
W-2 Managing EmployeeCeo May 14, 2015
Lisa a Beaudette-Nguyen Individual Contracted Managing Employee Jun 1, 2011
Mariam Hassan Individual Corporate DirectorBoard Member Sep 27, 2018
James Luciano Individual Corporate DirectorBoard Member Jun 9, 2016
Larry Williams Individual Corporate DirectorBoard Member Jun 11, 2015
Rohitkumar B Vasa Individual Corporate DirectorBoard Member May 1, 2013

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1164439279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606592009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606592009",
            "telephone_number": "773-761-0300",
            "fax_number": "773-761-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASIAN HUMAN SERVICES FAMILY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "PARACHA",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-761-0300",
        "authorized_official_credential": "MD., MPH"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WPS - MEDICARE PART B",
            "identifier": "PTAN IL1170",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.