CMS-1500 Box 24J / 33a • NPI
1114450707
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
174H00000X (CMS D1)
Certified Health Education Specialist (CHES / Preventive Patient Education)
Box 32 Service Location & ZIP+4
239 WILLOW RD, MATTESON, IL, 60443-1068
✓ 9-Digit EDI 837 ZIP+4 (60443-1068)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1114450707 (ADVANCED LIFE PROVIDERS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1114450707 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ADVANCED LIFE PROVIDERS |
| Plain-English Specialty | Certified Health Education Specialist (CHES / Preventive Patient Education) NUCC Code: 174H00000X (Health Educator) |
| Certifying / Licensing Body | National Commission for Health Education Credentialing (NCHEC) |
| Practice Location Address | 239 WILLOW RD, MATTESON, IL, 60443-1068 |
| Practice Telephone / Fax | Tel: (847) 830-7385 |
| Administrative Mailing Address | 239 WILLOW RD, MATTESON, IL, 60443-1068 |
| Enumeration & Last Sync | Enumerated: 2017-04-10 | CMS Record Updated: 2017-04-10 |
| Authorized Official | LA TONYA RAFE (CEO) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (174H00000X)
What Does Taxonomy Code 174H00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 174H00000X translates to:
"Certified Health Education Specialist (CHES / Preventive Patient Education)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ADVANCED LIFE PROVIDERS)
Typical CPT / Diagnostic Procedures:- Diabetes Self-Management Education and Support (DSMES — CPT G0108/G0109)
- Medical Nutrition & Cardiometabolic Lifestyle Counseling
- Visual Hospital OPD Health Literacy & Preventive Screening Workshops
- Preventive Nutritional, Micronutrient & Oral Rehydration Education Protocols
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
174H00000X — Health EducatorPlain English: Certified Health Education Specialist (CHES / Preventive Patient Education) | State: IL | License: 041348482 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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