Medical Home Care Inc

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

MEDICAL HOME CARE INC

Practice address

167 W Boughton Rd Ste C
Bolingbrook, IL 60440-1945

Phone

(331) 871-6674

NPI assigned

Jul 29, 2022

Organization subpart

No

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

Authorized official

Name

Maryrose Tamoro Lazatin

Title

Office Manager

Phone

(331) 871-6674

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bernie Ranchero, M.D.

  • Family Medicine Physician
  • Charleston, IL
  • NPI 1568656445
  Medicare reassignment NPD

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1053047142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 W BOUGHTON RD STE C",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401945",
            "telephone_number": "331-871-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 W BOUGHTON RD STE C",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401945",
            "telephone_number": "331-871-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "LAZATIN",
        "authorized_official_first_name": "MARYROSE",
        "authorized_official_middle_name": "TAMORO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "331-871-6674"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent Matthew McLeod, D.P.T
• Denise McNicholas, LCPC
• Jessica Meacham, ATC
• Meher Bala Medavaram, M.D.
• Medic Home Health Care, LLC
• Denise Meginniss, LCPC
• Sanjay Mehta, DDS
• Meijer
• Meijer Great Lakes Limited Partnership
• Meijer Great Lakes Limited Partnership

• Geriatric Medicine (Internal Medicine) Physician in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.