Organization Active NPI

AIDS Healthcare Foundation

Doing business as Ahf

  • Clinic/Center
  • Chicago, IL
National Provider Identifier
1629476635
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.