ESPERANZA AT CULTIVATE COLLECTIVE – NPI #1265114623
Clinic/Center

ESPERANZA AT CULTIVATE COLLECTIVE is an AHC clinic located in CHICAGO, IL. NPPES has assigned the NPI number 1265114623 to ESPERANZA AT CULTIVATE COLLECTIVE on August 04, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ESPERANZA AT CULTIVATE COLLECTIVE” is a dba name, the actual legal business name for this organization is ESPERANZA HEALTH CENTERS. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 3 years ago on Oct 05, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ESPERANZA AT CULTIVATE COLLECTIVE below.

NPI Profile for
ESPERANZA HEALTH CENTERS

NPI Number
1265114623
Enumeration Date

(about 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ESPERANZA HEALTH CENTERS
Doing Business As (dba): ESPERANZA AT CULTIVATE COLLECTIVE
Primary location
4350 S LAPORT AVE
CHICAGO, IL 60638
Phone: (773) 584-6200 Fax:
Mailing address
1940 S WESTERN AVE STE 205
CHICAGO, IL 60608-2503
Phone: Fax:
Organization Subpart
No
Authorized Official
ZACHARY SPREITZER
DIRECTOR OF FINANCE
Phone: (773) 640-5785
Updated
Certification Date
Oct 03, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.