Essence of Love Foundation NFP

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

ESSENCE OF LOVE FOUNDATION NFP

Doing business as

Essence Of Love Foundation NFP

Practice address

625 S 16TH Ave
Maywood, IL 60153-1427

Phone

(708) 689-7452

NPI assigned

Aug 20, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Jeanetta L Brown

Title

President

Phone

(773) 616-0756

Specialties & licenses 1

Addresses

Other names 1

• Essence Of Love Foundation NFP Doing business as

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1215769914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 S 16TH AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601531427",
            "telephone_number": "708-689-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S 16TH AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601531427",
            "telephone_number": "708-689-7452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENCE OF LOVE FOUNDATION NFP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JEANETTA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-616-0756",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Essence Of Love Foundation NFP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bridget Enright, APN
• Cagatay H Ersahin, MD
• Monica Esmail, MD
• Morgan Sierra Eso, DPM
• Baltazar Remigio Espiritu, MD
• Anna Eursiriwan, PHARMD
• Douglas Evans, MD
• Jamie Lorraine Evans, M.D., M.P.H.
• Joshua David Evans, M.D.
• Nora Catherine Evans, DPT

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maywood, IL
• Providers in Maywood, IL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.