CARESTL HEALTH – Federally Qualified Health Center (FQHC), NPI 1972596088

CARESTL HEALTH is a healthcare provider. based in Chicago, Illinois. specializing in Federally Qualified Health Center (FQHC). The NPI Number for CARESTL HEALTH is 1972596088

Main info

Organization
Name
CARESTL HEALTH
NPI
1972596088
Phone
(314) 898-1268
Address
PO BOX 772971
Authorized Official
MRS. ANGELA R CLABON CEO MBA
Enumeration Date
24 August 2005
Last Update Date
11 June 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:20State licenses:0Digital endpointsOther names

Provider Addresses for CARESTL HEALTH

  • Music Box Theatre, 3733, North Southport Avenue, Wrigleyville, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60613, United States

    CHICAGO, IL 606770271

    Phone: (314) 898-1268

    Fax: (855) 298-7184

    Type: Mailing

  • 5471 DR. MARTIN LUTHER KING

    SAINT LOUIS, MO 631124265

    Phone: (314) 367-5820

    Fax: (314) 367-7010

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-06-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100616000478OFederally Qualified Health Center (Fqhc)MOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60677)

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Reviews

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Frequently asked questions

How do I look up CARESTL HEALTH by NPI?
Use NPI 1972596088 when you need to reference CARESTL HEALTH in forms, claims, or directories.
Is CARESTL HEALTH currently active in the NPI registry?
CMS-published data lists CARESTL HEALTH as an active registrant.
What kind of provider is CARESTL HEALTH?
The page reflects Federally Qualified Health Center (FQHC) for CARESTL HEALTH. Clinical services aligned with this taxonomy classification.
Where is CARESTL HEALTH's primary listing?
We display Chicago, Illinois because that is what the record indicates for CARESTL HEALTH.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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