Organization Active NPI

Parks Family Home Care LLC

  • In Home Supportive Care Agency
  • Mount Prospect, IL
National Provider Identifier
1033796131
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PARKS FAMILY HOME CARE LLC
Practice address
1711 Forest Cove Dr Apt 212
Mount Prospect, IL 60056-5474
Phone
(773) 891-8049
NPI assigned
Mar 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Authorized official

Name
Makia Mullin
Title
Owner
Phone
(708) 378-8913

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1711 Forest Cove Dr Apt 212
Mount Prospect, IL 60056-5474

Mailing address

1711 Forest Cove Dr Apt 212
Mount Prospect, IL 60056-5474
Phone (773) 891-8049

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1033796131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 FOREST COVE DR APT 212",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600565474",
            "telephone_number": "773-891-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 FOREST COVE DR APT 212",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600565474",
            "telephone_number": "773-891-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKS FAMILY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "MULLIN",
        "authorized_official_first_name": "MAKIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-378-8913"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.