NPI Code Details Logo

NPI 1164384194

NPI 1164384194 : 1FORYOU : WESTCHESTER, IL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1164384194
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    1FORYOU 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/28/2025
-----------------------------------------------------
    Last Update Date     |    11/28/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    824 PORTSMOUTH AVE 
-----------------------------------------------------
    City                 |    WESTCHESTER
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60154-2607
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    877-522-2288
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1440 W TAYLOR ST 
-----------------------------------------------------
    City                 |    CHICAGO
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60607-4623
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    877-522-2288
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER & AUTHORIZED OFFICIAL
-----------------------------------------------------
    Name                 |    MS. TAWANA PATRICE BROWN 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    877-522-2288
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    253Z00000X
-----------------------------------------------------
    Taxonomy Name        |    In Home Supportive Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    251S00000X
-----------------------------------------------------
    Taxonomy Name        |    Community/Behavioral Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    347E00000X
-----------------------------------------------------
    Taxonomy Name        |    Transportation Broker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    261QA0600X
-----------------------------------------------------
    Taxonomy Name        |    Adult Day Care Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.