Provide a Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1010653 Issued in IL

Legal business name

PROVIDE A CARE LLC

Practice address

500 E Higgins Rd
Suite 207
Elk Grove Village, IL 60007-1400

Phone

(773) 326-6860

Fax

(847) 690-1539

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Carmencita Agno, RN

Title

Director

Phone

(773) 326-6860

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1083837637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E HIGGINS RD",
            "address_2": "SUITE 207",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600071400",
            "telephone_number": "773-326-6860",
            "fax_number": "847-690-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E HIGGINS RD",
            "address_2": "SUITE 207",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600071400",
            "telephone_number": "773-326-6860",
            "fax_number": "847-690-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDE A CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "AGNO",
        "authorized_official_first_name": "CARMENCITA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "773-326-6860",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.