Magnificent Home Healthcare, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1011027 Issued in IL

Legal business name

MAGNIFICENT HOME HEALTHCARE, LLC

Practice address

3345 W 95TH St
Evergreen Park, IL 60805-2234

Phone

(708) 499-0321

Fax

(708) 499-0360

NPI assigned

Jul 8, 2009

Last updated

Sep 1, 2009By 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

Mr. Bernard A Javate

Title

Assistant Administrator

Phone

(708) 499-0321

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1063641355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052234",
            "telephone_number": "708-499-0321",
            "fax_number": "708-499-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052234",
            "telephone_number": "708-499-0321",
            "fax_number": "708-499-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNIFICENT HOME HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-08",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "JAVATE",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "708-499-0321",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Lyon, MD
• Connie Maas
• James E. Mabbott, D.D.S.
• Kyleigh Maday, PHARMD
• Gopal Madhav, MD
• Mahaf Corporation
• Mahafzah Medical Center
• Mokhtar Malas, MD
• Joanna Malek, FNP-BC
• Kathryn Malyszko, LCPC

• Home Health Agency in Evergreen Park, IL
• Providers in Evergreen Park, 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 Sep 1, 2009; 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.