MBR in-Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MBR IN-HOME CARE, LLC

Practice address

16616 S 107TH Court
Orland Park, IL 60467

Phone

(708) 226-1028

NPI assigned

Jul 26, 2017

Organization subpart

No

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

Authorized official

Name

James K Lederer

Title

Owner/Director

Phone

(708) 226-1028

Specialties & licenses 1

Addresses

Other names 1

• Visiting Angels of Orland Park Doing business as

Locations

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577318400000",
    "number": "1053835694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11532 183RD PL STE NW",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604679484",
            "telephone_number": "708-226-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16616 S 107TH COURT",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "60467",
            "telephone_number": "708-226-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBR IN-HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A",
        "authorized_official_last_name": "LEDERER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "708-226-1028"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels of Orland Park",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Visiting Angels of Orland Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maxim Healthcare Services, Inc.
• Mayank Y. Doshi M.D.S.C.
• Carolyn Marie Mayer, APRN, CNP
• Shelly Renee Mayer, OTR/L
• Brenda Mayerhofer, LPC
• Alina McCampbell, PTA
• Maryjo McCartan, OD
• Elsie A McCarthy, P.T.
• Sharon D McCarthy, OTR
• Destini McConville

• In Home Supportive Care Agency in Orland Park, IL
• Providers in Orland Park, IL by specialty
• In Home Supportive Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.