Organization Active NPI

Converge Home Health Care LLC

  • Home Health Agency
  • Schaumburg, IL
National Provider Identifier
1033380175
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010849 Issued in IL
Legal business name
CONVERGE HOME HEALTH CARE LLC
Practice address
1100 E Woodfield Rd
Suite 130
Schaumburg, IL 60173-5116
Phone
(847) 375-0323
Fax
(847) 330-2844
NPI assigned
Mar 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Authorized official

Name
Catherine Nerja, RN
Title
Administrator
Phone
(847) 375-0323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010849 IL Primary

Addresses

Primary practice location

1100 E Woodfield Rd
Suite 130
Schaumburg, IL 60173-5116

Mailing address

1100 E Woodfield Rd
Suite 130
Schaumburg, IL 60173-5116
Phone (847) 375-0323

Other identifiers 1

IdentifierTypeStateIssuer
1010849OtherILSTATE LICENSE

National Provider Directory

National Provider Directory

Locations

1100 E Woodfield Rd
Ste 130
Schaumburg, IL 60173
Phone (773) 598-8723

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1033380175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E WOODFIELD RD",
            "address_2": "SUITE 130",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735116",
            "telephone_number": "847-375-0323",
            "fax_number": "847-330-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E WOODFIELD RD",
            "address_2": "SUITE 130",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735116",
            "telephone_number": "847-375-0323",
            "fax_number": "847-330-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVERGE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "NERJA",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-375-0323",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1010849",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.