Healthcare Provider Details

I. General information

NPI: 1013505239
Provider Name (Legal Business Name): HUMANS AT HELP FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2021
Last Update Date: 01/04/2021
Certification Date: 01/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5766 N LINCOLN AVE
CHICAGO IL
60659-4734
US

IV. Provider business mailing address

6424 N ARTESIAN AVE
CHICAGO IL
60645-5356
US

V. Phone/Fax

Practice location:
  • Phone: 773-852-7866
  • Fax:
Mailing address:
  • Phone: 773-852-7866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ANSAR A MOHAMMED
Title or Position: PRESIDENT
Credential:
Phone: 773-852-7866