NPIMap

Organization Active NPI

Tapestry 360 Health

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
National Provider Identifier
1972955680
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
TAPESTRY 360 HEALTH
Doing business as
Heartland Health Centers
Practice address
6631 N Bosworth Ave
Chicago, IL 60626-4223
Phone
(773) 751-7800
Fax
(773) 634-7969
NPI assigned
Jul 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Authorized official

Name
Nicole Willis
Title
Ceo
Phone
(773) 751-7800

Specialties & licenses 1

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

Addresses

Primary practice location

6631 N Bosworth Ave
Chicago, IL 60626-4223

Mailing address

1301 W Devon Ave
Chicago, IL 60660-1329
Phone (773) 751-7800

Other names 2

  • Heartland Health Centers Doing business as
  • Tapestry 360 Health - Sullivan High School Other name

National Provider Directory

National Provider Directory
Tax ID family
Heartland Health Centers24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1972955680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601329",
            "telephone_number": "773-751-7800",
            "fax_number": "773-634-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6631 N BOSWORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606264223",
            "telephone_number": "773-751-7800",
            "fax_number": "773-634-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAPESTRY 360 HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-751-7800"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Health Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tapestry 360 Health - Sullivan High School",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 4, 2023; 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.