Organization Active NPI

Brain Box Literacy Academy and Educational Services

  • Adult Day Care Clinic/Center
  • Chicago, IL
National Provider Identifier
1740940741
Registry record updated Dec 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
BRAIN BOX LITERACY ACADEMY AND EDUCATIONAL SERVICES
Practice address
9304 S Ashland Ave
Chicago, IL 60620-5119
Phone
(773) 230-9682
Fax
(773) 424-3000
NPI assigned
Dec 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2021

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

Authorized official

Name
Ayesha Elamin
Title
Chief Executive Officer
Phone
(773) 230-9682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

9304 S Ashland Ave
Chicago, IL 60620-5119

Mailing address

1510 Kinross St
Flossmoor, IL 60422-4314
Phone (773) 230-9682

Other names 1

  • Beloved Elder Elite Doing business as

National Provider Directory

National Provider Directory

Locations

9304 S Ashland Ave
Chicago, IL 60620
Phone (773) 230-9682

NPI Registry JSON

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

{
    "created_epoch": "1639872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639872000000",
    "number": "1740940741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 KINROSS ST",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604224314",
            "telephone_number": "773-230-9682",
            "fax_number": "773-424-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9304 S ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606205119",
            "telephone_number": "773-230-9682",
            "fax_number": "773-424-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN BOX LITERACY ACADEMY AND EDUCATIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-19",
        "last_updated": "2021-12-19",
        "certification_date": "2021-12-19",
        "status": "A",
        "authorized_official_last_name": "ELAMIN",
        "authorized_official_first_name": "AYESHA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "773-230-9682"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beloved Elder Elite",
            "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 Dec 19, 2021; 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.