Healthcare Provider Details

I. General information

NPI: 1164384194
Provider Name (Legal Business Name): 1FORYOU
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2025
Last Update Date: 11/28/2025
Certification Date: 11/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

824 PORTSMOUTH AVE
WESTCHESTER IL
60154-2607
US

IV. Provider business mailing address

1440 W TAYLOR ST
CHICAGO IL
60607-4623
US

V. Phone/Fax

Practice location:
  • Phone: 877-522-2288
  • Fax:
Mailing address:
  • Phone: 877-522-2288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. TAWANA PATRICE BROWN
Title or Position: OWNER & AUTHORIZED OFFICIAL
Credential:
Phone: 877-522-2288