Fort Care, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

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

Jul 22, 2024

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 2

Addresses

Other identifiers 4

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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
  NPD Authorized official

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730592000000",
    "number": "1922836170",
    "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": "2024-07-22",
        "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": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF FINANCIAL & PROFESSIONAL REGULATIONS",
            "identifier": "248004959",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS CLIA CERTIFICATE OF WAIVER",
            "identifier": "14D2284487",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1841906047",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIMARY PROVIDER NPI",
            "identifier": "1275024523",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monique Flemings, PT
• Julie A. Flynn, CRNA
• Alex Folami, DNP
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• Fort Care, LLC
• Emily Fosnaugh, PTA
• Franciscan Health Dyer & Hammond (St. Margaret Home Care)
• Cameron D Frazier, LCSW
• Joan Elaine French, MA, NCC, LCPC
• Full Circle Transportation Services LLC

• Clinical Medical Laboratory in Lansing, IL
• Providers in Lansing, IL by specialty
• Clinical Medical Laboratory 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.