Organization Active NPI

Flourish Health, Inc

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1215698386
Registry record updated Dec 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FLOURISH HEALTH, INC
Practice address
2852 N Hamlin Ave
Chicago, IL 60618-7202
Phone
(650) 863-4774
NPI assigned
Dec 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2021

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

Authorized official

Name
John Haskell
Title
Ceo
Phone
(650) 863-4774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2852 N Hamlin Ave
Chicago, IL 60618-7202

Mailing address

2852 N Hamlin Ave
Chicago, IL 60618-7202
Phone (650) 863-4774

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1640908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640908800000",
    "number": "1215698386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2852 N HAMLIN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606187202",
            "telephone_number": "650-863-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2852 N HAMLIN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606187202",
            "telephone_number": "650-863-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISH HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-31",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "HASKELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-863-4774"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 31, 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.