Organization Active NPI

Primo Center for Women and Children

  • Case Management Agency
  • Chicago, IL
National Provider Identifier
1639653314
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PRIMO CENTER FOR WOMEN AND CHILDREN
Practice address
6212 S Sangamon St
Chicago, IL 60621-2006
Phone
(773) 826-7991
Fax
(773) 471-6099
NPI assigned
Sep 19, 2018
Organization subpart
Yes
Parent organization
PRIMO CENTER FOR WOMEN AND CHILDRENAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Authorized official

Name
Anita Carter
Title
Director of Billing/Manage Care STR
Phone
(773) 826-7991

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

6212 S Sangamon St
Chicago, IL 60621-2006

Mailing address

6212 S Sangamon St
Chicago, IL 60621-2006
Phone (773) 826-7991

Other names 1

  • Primo center for Women and Children IHH Other name

National Provider Directory

National Provider Directory
Tax ID family
Primo Center for Women and Children2 organizations share this tax ID, including this one
Part of
Primo Center for Women and Children

Other organizations with this tax ID 1

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

Locations

6212 S Sangamon St
Chicago, IL 60621
Phone (773) 826-7991

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14494/brand/1/csg/1/fhir/r4

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1639653314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6212 S SANGAMON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606212006",
            "telephone_number": "773-826-7991",
            "fax_number": "773-471-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6212 S SANGAMON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606212006",
            "telephone_number": "773-826-7991",
            "fax_number": "773-471-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMO CENTER FOR WOMEN AND CHILDREN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIMO CENTER FOR WOMEN AND CHILDREN",
        "enumeration_date": "2018-09-19",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING/MANAGE CARE STR",
        "authorized_official_telephone_number": "773-826-7991"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primo center for Women and Children IHH",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Primo center for Women and Children IHH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 1, 2020; 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.