1St Juvenant Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

1ST JUVENANT CARE LLC

Practice address

4320 Winfield Rd Ste 200
Warrenville, IL 60555-4023

Phone

(773) 249-4377

Fax

(708) 377-6558

NPI assigned

Jul 16, 2019

Last updated

Jul 16, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hassan Matovu

Title

Manager

Phone

(773) 249-4377

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1043862477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 WINFIELD RD STE 200",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605554023",
            "telephone_number": "773-249-4377",
            "fax_number": "708-377-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 WINFIELD RD STE 200",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605554023",
            "telephone_number": "773-249-4377",
            "fax_number": "708-377-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST JUVENANT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "MATOVU",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-249-4377"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION",
            "identifier": "041352225",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Warrenville",
            "affiliation": "N",
            "endpointDescription": "Health Care Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "health care providers",
            "address_1": "4320 Winfield Rd Ste 200",
            "city": "Warrenville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605554023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Abantu Home Services LLC
• Radmila Ilic Abram, LCPC
• Sheila M Adamo, LCSW, CADC

• Home Health Agency in Warrenville, IL
• Providers in Warrenville, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.