NOURISHING HOPE – NPI #1477258655
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Health Care Provider Taxonomy Code for Clinic/Center

NOURISHING HOPE is an AHC clinic located in CHICAGO, IL. NPPES has assigned the NPI number 1477258655 to NOURISHING HOPE on April 05, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is LAKEVIEW PANTRY. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0850X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Mental Health

The NPI profile was previously updated about 3 years ago on Apr 24, 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 NOURISHING HOPE below.

NPI Profile for
NOURISHING HOPE

NPI Number
1477258655
Enumeration Date

(more than 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
NOURISHING HOPE
Former Legal Business Name: LAKEVIEW PANTRY
Primary location
1716 W. HUBBARD
CHICAGO, IL 60622
Phone: (773) 525-1777 Fax: (773) 525-7310
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KELLIE O'CONNELL
CHIEF EXECUTIVE OFFICER
Phone: (773) 525-1777
Updated
Certification Date
Apr 19, 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
261QM0850X
- Clinic/Center / Adult Mental Health (Primary)
261QM0855X
- Clinic/Center / Adolescent and Children Mental Health

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.