CMS-1500 Box 24J / 33a • NPI
1790472355
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
251S00000X
Licensed & Credentialed Community/Behavioral Health
Box 32 Service Location & ZIP+4
243 W 95TH ST, CHICAGO, IL, 60628-1375
✓ 9-Digit EDI 837 ZIP+4 (60628-1375)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1790472355 (1863FWD CARE 2 CARE NFP) 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 | 1790472355 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | 1863FWD CARE 2 CARE NFP |
| Plain-English Specialty | Licensed & Credentialed Community/Behavioral Health NUCC Code: 251S00000X (Community/Behavioral Health) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 243 W 95TH ST, CHICAGO, IL, 60628-1375 |
| Practice Telephone / Fax | Tel: (708) 491-3303 |
| Administrative Mailing Address | PO BOX 717, GLENWOOD, IL, 60425-0717 |
| Enumeration & Last Sync | Enumerated: 2023-04-24 | CMS Record Updated: 2023-04-24 |
| Authorized Official | JATAUN ROLLINS (CEO) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (251S00000X)
What Does Taxonomy Code 251S00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 251S00000X translates to:
"Licensed & Credentialed Community/Behavioral Health"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (1863FWD CARE 2 CARE NFP)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
261QM0801X — Clinic/Center, Mental Health (Including Community Mental Health Center)Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: N/A | License: Verified | Primary: Secondary |
261QM0855X — Clinic/Center, Adolescent and Children Mental HealthPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: N/A | License: Verified | Primary: Secondary |
311500000X — Alzheimer Center (Dementia Center)Plain English: Licensed & Credentialed Alzheimer Center (Dementia Center) | State: N/A | License: Verified | Primary: Secondary |
343900000X — Non-emergency Medical Transport (VAN)Plain English: Licensed & Credentialed Non-emergency Medical Transport (VAN) | State: N/A | License: Verified | Primary: Secondary |
347C00000X — Private VehiclePlain English: Licensed & Credentialed Private Vehicle | State: N/A | License: Verified | Primary: Secondary |
347E00000X — Transportation BrokerPlain English: Licensed & Credentialed Transportation Broker | State: N/A | License: Verified | Primary: Secondary |
251S00000X — Community/Behavioral HealthPlain English: Licensed & Credentialed Community/Behavioral Health | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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