Organization Active NPI

Entrepreneur Enterprizez

  • School Counselor
  • Chicago, IL
National Provider Identifier
1174014716
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
License
785049 Issued in IL
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

Updated by the provider on Jun 14, 2019

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)CodeLicenseStatePrimary
School CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.