Organization Active NPI

Healthy Hearts & Wellness

  • Clinic/Center
  • Chicago, IL
National Provider Identifier
1376138610
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HEALTHY HEARTS & WELLNESS
Practice address
2136 W 95TH St Ste 201
Chicago, IL 60643-1000
Phone
(708) 808-0540
NPI assigned
Mar 9, 2021
Last updated
Mar 9, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALTHY HEARTS WELLNESSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Authorized official

Name
Angela Beal, NPNPI 1861965543
Title
NP
Phone
(773) 414-7352

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

2136 W 95TH St Ste 201
Chicago, IL 60643-1000

Mailing address

2136 W 95TH St Ste 201
Chicago, IL 60643-1000
Phone (708) 808-0540

Other names 1

  • Healthy Hearts Wellness Other name

National Provider Directory

National Provider Directory
Part of
Healthy Hearts Wellness LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1376138610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2136 W 95TH ST STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431000",
            "telephone_number": "708-808-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 W 95TH ST STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431000",
            "telephone_number": "708-808-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY HEARTS & WELLNESS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTHY HEARTS WELLNESS",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "BEAL",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "773-414-7352",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Hearts Wellness",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 9, 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.