Active NPI
Entrepreneur Enterprizez
- School Counselor
- Chicago, IL
National Provider Identifier
1174014716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 785049
- Legal business name
- ENTREPRENEUR ENTERPRIZEZ
- Practice address
- 3017 W Walnut St
Chicago, IL 60612-1835 - Phone
- (682) 772-9133
- NPI assigned
- May 18, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Bridgett Shauntell Whooper, COUNSELOR
- Title
- Director
- Phone
- (682) 772-9133
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 785049 | IL | Primary |
Addresses
Primary practice location
3017 W Walnut St
Chicago, IL 60612-1835
Mailing address
3017 W Walnut St
Chicago, IL 60612-1835
Phone (682) 772-9133
Other names 1
- Elderly Love Home Care, LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560470400000",
"number": "1174014716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3017 W WALNUT ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606121835",
"telephone_number": "682-772-9133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3017 W WALNUT ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606121835",
"telephone_number": "682-772-9133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENTREPRENEUR ENTERPRIZEZ",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-18",
"last_updated": "2019-06-14",
"status": "A",
"authorized_official_last_name": "WHOOPER",
"authorized_official_first_name": "BRIDGETT",
"authorized_official_middle_name": "SHAUNTELL",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "682-772-9133",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "COUNSELOR"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, School",
"state": "IL",
"license": "785049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Elderly Love Home Care, LLC",
"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 Jun 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.