Prohealth Homecare LLC

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

1010403 Issued in IL

Legal business name

PROHEALTH HOMECARE LLC

Practice address

2604 Dempster St
Ste#205
Park Ridge, IL 60068-8412

Phone

(847) 795-0800

Fax

(847) 795-0808

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mazhar H Tabrezi

Title

Manager/Agency Supervisor

Phone

(847) 795-0800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1013927318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 DEMPSTER ST",
            "address_2": "STE#205",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600688412",
            "telephone_number": "847-795-0800",
            "fax_number": "847-795-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 DEMPSTER ST",
            "address_2": "STE#205",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600688412",
            "telephone_number": "847-795-0800",
            "fax_number": "847-795-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "TABREZI",
        "authorized_official_first_name": "MAZHAR",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MANAGER/AGENCY SUPERVISOR",
        "authorized_official_telephone_number": "847-795-0800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "IL",
            "license": "1010403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Registered Nurse in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Home Health Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.