Active NPI
Meredith'S Care Partners LLC
- Clinical Medical Laboratory
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- MEREDITH'S CARE PARTNERS LLC
- Practice address
- 11130 S Western Ave # Store1
Chicago, IL 60643-3963 - Phone
- (773) 941-8665
- NPI assigned
- Mar 8, 2023
- 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
- Erica Wilson
- Title
- Owner
- Phone
- (773) 941-8665
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
11130 S Western Ave # Store1
Chicago, IL 60643-3963
Mailing address
11526 S Longwood Dr
Chicago, IL 60643-4828
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2232905 | Meredith'S Care Partners LLC | Certificate of waiver | Aug 17, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Meredith'S Care Partners LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Chicago, IL
- NPI 1811438831
Locations
11130 S Western Ave
Ste 1
Chicago, IL 60643
Phone (773) 941-8665
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Chicago, IL
- NPI 1972231967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678233600000",
"number": "1407556384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11526 S LONGWOOD DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606434828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11130 S WESTERN AVE # STORE1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606433963",
"telephone_number": "773-941-8665"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEREDITH'S CARE PARTNERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-08",
"last_updated": "2023-03-08",
"certification_date": "2023-03-07",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "ERICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "773-941-8665"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"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 Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.