Active NPI
Renewal Life Community Development Corporation
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
National Provider Identifier
1508629478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- RENEWAL LIFE COMMUNITY DEVELOPMENT CORPORATION
- Practice address
- 740 W 59TH St
Chicago, IL 60621-2823 - Phone
- (773) 954-6483
- NPI assigned
- Feb 2, 2024
- 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
- Vchaney Brown, MA,CADC,NCC
- Title
- Director
- Phone
- (312) 634-6447
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
740 W 59TH St
Chicago, IL 60621-2823
Mailing address
5848 S Emerald Ave
Chicago, IL 60621-2814
National Provider Directory
National Provider Directory- Tax ID family
- Renewal Life Community Development Corporation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pastoral Counselor
- Chicago, IL
- NPI 1598635104
Locations
740 W 59th St
Chicago, IL 60621
Phone (773) 954-6483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706832000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752624000000",
"number": "1508629478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5848 S EMERALD AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606212814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 W 59TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606212823",
"telephone_number": "773-954-6483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENEWAL LIFE COMMUNITY DEVELOPMENT CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-02",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "VCHANEY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "312-634-6447",
"authorized_official_credential": "MA,CADC,NCC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Rene S Vasquez M D S C
- Renee Luburic MD
- Renew Chiropractic Health and Wellness LLC
- Renew Therapeutic Services
- Renew You Counseling Center LLC
- Renewal Life Community Development Corporation
- Renewal Therapy PLLC
- Renewed Body Chiropractic & Wellness Center LLC
- Renewed Hope Community Services
- Renewed Hope Community Services Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.