Plcca

LBN: Proviso-Leyden Council For Community Action Inc
Plcca is an health care organization with primary practice located at 411 Madison St , Maywood IL 60153-2136. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Ambulatory Health Care Facilities / Methadone, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Hospital Units / Rehabilitation, Substance Use Disorder Unit. Ambulatory Health Care Facilities / Methadone is the primary health care specialty. Proviso-Leyden Council For Community Action Inc can be contacted via phone (708) 236-5042, or through Porter, Claude via phone (708) 450-3500.

Contact Information

Primary practice address
411 Madison St Maywood IL 60153-2136
Phone: (708) 236-5042
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Porter, Claude
Phone: (708) 450-3500

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Ambulatory Health Care Facilities / Methadone 261QM2800X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Hospital Units / Rehabilitation, Substance Use Disorder Unit 276400000X

Profile Details

NPI number 1134553076
LBN Legal business name Proviso-Leyden Council For Community Action Inc
DBA Doing business as Plcca
Authorized official Porter, Claude
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2013
Last updated Mar 20th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134553076 NPPES
Illinois MEDICAID 1215987003

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