Professional Angel Care, LTD.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

3000440 Issued in IL

Legal business name

PROFESSIONAL ANGEL CARE, LTD.

Doing business as

In-Home Professional Care Services

Practice address

3525 W. Peterson Avenue
Suite 222
Chicago, IL 60659-3314

Phone

(773) 907-8991

Fax

(773) 907-8992

NPI assigned

Oct 16, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Manolito Del Rosario Gawat

Title

President/Owner

Phone

(773) 907-8991

Specialties & licenses 1

Addresses

Other names 1

• In-Home Professional Care Services Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413417600000",
    "number": "1003210295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 W. PETERSON AVENUE",
            "address_2": "SUITE 222",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593314",
            "telephone_number": "773-907-8991",
            "fax_number": "773-907-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 W. PETERSON AVENUE",
            "address_2": "SUITE 222",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593314",
            "telephone_number": "773-907-8991",
            "fax_number": "773-907-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL ANGEL CARE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-16",
        "last_updated": "2014-10-16",
        "status": "A",
        "authorized_official_last_name": "GAWAT",
        "authorized_official_first_name": "MANOLITO",
        "authorized_official_middle_name": "DEL ROSARIO",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "773-907-8991",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "3000440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "In-Home Professional Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• In Home Supportive Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.