Organization Active NPI

Agape Home Health of Illinois, Inc.

  • Home Health Agency
  • Bolingbrook, IL
National Provider Identifier
1013276583
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AGAPE HOME HEALTH OF ILLINOIS, INC.
Practice address
400 Twin Creeks Drive
Bolingbrook, IL 60640-1040
Phone
(630) 985-0550
Fax
(630) 985-0660
NPI assigned
May 3, 2012
Last updated
May 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Authorized official

Name
Mrs. Iluminada L Perez, RN
Title
Administrator
Phone
(312) 203-5235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X IL Primary

Addresses

Primary practice location

400 Twin Creeks Drive
Bolingbrook, IL 60640-1040

Mailing address

400 Twin Creeks Drive
Bolingbrook, IL 60640-1078
Phone (630) 985-0550

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1013276583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 TWIN CREEKS DRIVE",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "606401078",
            "telephone_number": "630-985-0550",
            "fax_number": "630-985-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TWIN CREEKS DRIVE",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "606401040",
            "telephone_number": "630-985-0550",
            "fax_number": "630-985-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE HOME HEALTH OF ILLINOIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ILUMINADA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "312-203-5235",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.