Organization Active NPI

Heal-Thy People Family Care Center

  • Primary Care Clinic/Center
  • Hazel Crest, IL
National Provider Identifier
1487022752
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
036110716 Issued in IL
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

Updated by the provider on Sep 3, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036110716MedicaidIL

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.