Fort Care, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

FORT CARE, LLC

Practice address

18241 West St Ste 209
Lansing, IL 60438-3200

Phone

(800) 897-4575

Fax

(800) 306-9509

NPI assigned

Jan 31, 2023

Last updated

Nov 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lateisha Nicole Fort, APRN-FPANPI 1275024523

Title

Ceo/Provider

Phone

(708) 668-6971

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lateisha Nicole Fort, APN-FPA

  • Acute Care Nurse Practitioner
  • Harvey, IL
  • NPI 1275024523
  Authorized official Same address or phone

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730592000000",
    "number": "1841906047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18241 WEST ST STE 209",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604383200",
            "telephone_number": "800-897-4575",
            "fax_number": "800-306-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18241 WEST ST STE 209",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604383200",
            "telephone_number": "800-897-4575",
            "fax_number": "800-306-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2024-11-03",
        "certification_date": "2024-11-03",
        "status": "A",
        "authorized_official_last_name": "FORT",
        "authorized_official_first_name": "LATEISHA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CEO/PROVIDER",
        "authorized_official_telephone_number": "708-668-6971",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN-FPA"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS CLIA CERTIFICATE OF WAIVER",
            "identifier": "14D2284487",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF FINANCIAL & PROFESSIONAL REGULATION",
            "identifier": "248004959",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dominique Renee Fleming
• Monique Flemings, PT
• Julie A. Flynn, CRNA
• Alex Folami, DNP
• Foresight Clinical Counseling PLLC
• Fort Care, LLC
• Emily Fosnaugh, PTA
• Franciscan Health Dyer & Hammond (St. Margaret Home Care)
• Cameron D Frazier, LCSW
• Joan Elaine French, MA, NCC, LCPC

• Health Service Clinic/Center in Lansing, IL
• Providers in Lansing, IL by specialty
• Health Service Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2024; 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.