Organization Active NPI

Fola Community Action Services Inc.

  • Methadone Clinic
  • Chicago, IL
National Provider Identifier
1871626713
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
FOLA COMMUNITY ACTION SERVICES INC.
Practice address
8014 S Ashland Ave
Chicago, IL 60620-4317
Phone
(773) 487-4310
Fax
(773) 487-4320
NPI assigned
Mar 13, 2007
Last updated
Mar 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Authorized official

Name
Olufolake Oladeinde
Title
President/Ceo
Phone
(773) 487-4310

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

8014 S Ashland Ave
Chicago, IL 60620-4317

Mailing address

8014 S Ashland Ave
Chicago, IL 60620-4317
Phone (773) 487-4310

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address FCASINC@HOTMAIL.COM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Opioid treatment program
Medicare-enrolled since Feb 5, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200420002558 IL Part B Supplier - Opioid Treatment Program (Otp) 5092145755 Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

8014 S Ashland Ave
Chicago, IL 60620
Phone (773) 487-4310

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1871626713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8014 S ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606204317",
            "telephone_number": "773-487-4310",
            "fax_number": "773-487-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8014 S ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606204317",
            "telephone_number": "773-487-4310",
            "fax_number": "773-487-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOLA COMMUNITY ACTION SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "OLADEINDE",
        "authorized_official_first_name": "OLUFOLAKE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "773-487-4310"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "FCASINC@HOTMAIL.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL ADDRESS",
            "address_1": "8014 S Ashland Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606204317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Mar 23, 2021; 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.