NPIMap

Organization Active NPI

Asian Human Services Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Niles, IL
National Provider Identifier
1891162962
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ASIAN HUMAN SERVICES FAMILY HEALTH CENTER, INC
Practice address
8321 W Golf Rd
Niles, IL 60714-1113
Phone
(773) 761-0010
NPI assigned
Aug 25, 2015
Last updated
Aug 22, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
ASIAN HUMAN SERVICES FAMILY HEALTH CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Authorized official

Name
Muhammad W Paracha, MD., MPH.
Title
Ceo
Phone
(773) 761-0010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

8321 W Golf Rd
Niles, IL 60714-1113

Mailing address

8321 W Golf Rd
Niles, IL 60714-1113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041013000686 IL Part B Supplier - Clinic/Group Practice 4385637537 Receives reassigned benefits from 22 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Skokie, IL; Niles, IL; Chicago, IL
O20160112000837 IL Part A Provider - Federally Qualified Health Center (FQHC) 4385637537 Practice locations: Niles, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891162962. Details of each certification follow.

Federally qualified health center certification: CCN 781845

Legal name
ASIAN HUMAN SERVICES FAMILY HEALTH CENTER, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 26, 2016
Last certification
Jan 26, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 17, 2001 in IL
Enrollment address
8321 W Golf Rd
Niles, IL 60714-1113

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Asian Human Services Family5 organizations share this tax ID, including this one
Part of
Asian Human Services Family

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Muhammad M Khan Individual Corporate DirectorBoard Member Mar 1, 2021
Brenda Ahmed Individual Corporate DirectorBoard Member Jun 11, 2015
Fe Cabera Individual Corporate DirectorBoard Member Apr 19, 2018
Elsadig Elmahdi Individual Corporate DirectorBoard Member Jun 15, 2017
Muhammad W Paracha Individual Corporate Officer May 1, 2013
W-2 Managing EmployeeCeo May 1, 2013
Mariam Hassan Individual Corporate DirectorBoard Member Sep 27, 2018
James Luciano Individual Corporate DirectorBoard Member Jun 9, 2016
Larry Williams Individual Corporate DirectorBoard Member Jun 11, 2015
Rohitkumar B Vasa Individual Corporate DirectorBoard Member May 1, 2013

Practitioners & affiliated clinicians

Practitioners 3

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": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1891162962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8321 W GOLF RD",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8321 W GOLF RD",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141113",
            "telephone_number": "773-761-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASIAN HUMAN SERVICES FAMILY HEALTH CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASIAN HUMAN SERVICES FAMILY HEALTH CENTER, INC",
        "enumeration_date": "2015-08-25",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "PARACHA",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-761-0010",
        "authorized_official_credential": "MD., MPH."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

Verify at the official NPI Registry.