Active NPI
Brain Box Literacy Academy and Educational Services
- Adult Day Care Clinic/Center
- Chicago, IL
National Provider Identifier
1740940741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.