NPIMap

Organization Active NPI

Lawndale Christian Health Center

  • PACE Provider Organization
  • Chicago, IL
National Provider Identifier
1891536561
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
LAWNDALE CHRISTIAN HEALTH CENTER
Practice address
3745 W Ogden Ave
Chicago, IL 60623-2427
Phone
(872) 588-3000
Fax
(872) 588-3001
NPI assigned
Jun 5, 2024
Last updated
Jun 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Karen Renee Johnson
Title
Asst. Dir. of Patient Accounting
Phone
(872) 588-3062

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU
PACE Provider Organization 251T00000X NU Primary

Addresses

Primary practice location

3745 W Ogden Ave
Chicago, IL 60623-2427

Mailing address

Lawndale Christian Health Center 4696 Paysphere Circle
Chicago, IL 60674-0001

National Provider Directory

National Provider Directory
Tax ID family
Lawndale Christian Health10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

3745 W Ogden Ave
Chicago, IL 60623
Phone (872) 588-3000

Lawndale Christian Health Ctr 4696 Paysphere Cir
Chicago, IL 60674

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": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1891536561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LAWNDALE CHRISTIAN HEALTH CENTER 4696 PAYSPHERE CIRCLE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3745 W OGDEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606232427",
            "telephone_number": "872-588-3000",
            "fax_number": "872-588-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWNDALE CHRISTIAN HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "ASST. DIR. OF PATIENT ACCOUNTING",
        "authorized_official_telephone_number": "872-588-3062"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jun 5, 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.