Active NPI
AIDS Healthcare Foundation
Doing business as Ahf
- Clinic/Center
- Chicago, IL
National Provider Identifier
1629476635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- AIDS HEALTHCARE FOUNDATION
- Doing business as
- Ahf
- Practice address
- 2600 S Michigan Ave
Suite LL-D
Chicago, IL 60616-2857 - Phone
- (323) 498-6665
- Fax
- (888) 235-6638
- NPI assigned
- Dec 8, 2014
- Last updated
- Sep 11, 2019
- 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
- Donna Stidham
- Title
- Chief, Managed Care
- Phone
- (323) 436-5025
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | Primary |
Addresses
Primary practice location
2600 S Michigan Ave
Suite LL-D
Chicago, IL 60616-2857
Mailing address
6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200
Other names 1
- AHF
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150608002123 | IL | Part B Supplier - Clinic/Group Practice | 2668369109 |
Receives reassigned benefits from 3 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Chicago, IL |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Ahf
- Infectious Disease Physician
- Chicago, IL
- NPI 1437775038
O20150608002123
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568160000000",
"number": "1629476635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6255 W SUNSET BLVD FL 21",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900287422",
"telephone_number": "323-860-5200",
"fax_number": "833-241-7615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 S MICHIGAN AVE",
"address_2": "SUITE LL-D",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606162857",
"telephone_number": "323-498-6665",
"fax_number": "888-235-6638"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AIDS HEALTHCARE FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-08",
"last_updated": "2019-09-11",
"status": "A",
"authorized_official_last_name": "STIDHAM",
"authorized_official_first_name": "DONNA",
"authorized_official_title_or_position": "CHIEF, MANAGED CARE",
"authorized_official_telephone_number": "323-436-5025"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AHF",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "AHF",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.