Active NPI
Heal-Thy People Family Care Center
- Primary Care Clinic/Center
- Hazel Crest, IL
National Provider Identifier
1487022752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 036110716
- Legal business name
- HEAL-THY PEOPLE FAMILY CARE CENTER
- Practice address
- 17800 Kedzie Ave
Hazel Crest, IL 60429-2029 - Phone
- (708) 396-9777
- Fax
- (708) 396-9732
- NPI assigned
- Sep 3, 2015
- 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
- Dr. Laverne Barnes, DO
- Title
- Physician
- Phone
- (708) 720-5161
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 036110716 | IL | Primary |
Addresses
Primary practice location
17800 Kedzie Ave
Hazel Crest, IL 60429-2029
Mailing address
6030 Colgate LN
Matteson, IL 60443-1995
Phone (708) 396-9777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036110716 | Medicaid | IL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1441238400000",
"number": "1487022752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6030 COLGATE LN",
"city": "MATTESON",
"state": "IL",
"postal_code": "604431995",
"telephone_number": "708-396-9777",
"fax_number": "708-396-9732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17800 KEDZIE AVE",
"city": "HAZEL CREST",
"state": "IL",
"postal_code": "604292029",
"telephone_number": "708-396-9777",
"fax_number": "708-396-9732"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEAL-THY PEOPLE FAMILY CARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-03",
"last_updated": "2015-09-03",
"status": "A",
"authorized_official_last_name": "BARNES",
"authorized_official_first_name": "LAVERNE",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "708-720-5161",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "IL",
"license": "036110716",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036110716",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hazel Crest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.