Organization Active NPI

Renewal Life Community Development Corporation

  • Pastoral Counselor
  • Chicago, IL
National Provider Identifier
1598635104
Registry record updated Nov 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
Legal business name
RENEWAL LIFE COMMUNITY DEVELOPMENT CORPORATION
Practice address
5848 S Emerald Ave
Chicago, IL 60621-2814
Phone
(872) 352-0096
NPI assigned
Nov 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2025

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

Authorized official

Name
Jerico Beown
Title
Owner
Phone
(872) 352-0096

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP1600X Primary
Home Health Agency 251E00000X

Addresses

Primary practice location

5848 S Emerald Ave
Chicago, IL 60621-2814

Mailing address

5848 S Emerald Ave
Chicago, IL 60621-2814

National Provider Directory

National Provider Directory
Tax ID family
Renewal Life Community Development Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5848 S Emerald Ave
Chicago, IL 60621
Phone (872) 352-0096

NPI Registry JSON

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

{
    "created_epoch": "1762560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762560000000",
    "number": "1598635104",
    "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": "5848 S EMERALD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606212814",
            "telephone_number": "872-352-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWAL LIFE COMMUNITY DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-08",
        "last_updated": "2025-11-08",
        "certification_date": "2025-11-08",
        "status": "A",
        "authorized_official_last_name": "BEOWN",
        "authorized_official_first_name": "JERICO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "872-352-0096"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Nov 8, 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.

Verify at the official NPI Registry.