Organization Active NPI

Sure Care Home Health Corp.

  • Home Health Agency
  • Glendale Heights, IL
National Provider Identifier
1093015646
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
IL10375 Issued in IL
Legal business name
SURE CARE HOME HEALTH CORP.
Practice address
1155 N Main St Ste C
Glendale Heights, IL 60139-3508
Phone
(630) 295-9058
Fax
(630) 295-9059
NPI assigned
Oct 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Authorized official

Name
Mrs. Mylene Esmeralda Masiclat
Title
President
Phone
(630) 295-9058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X IL10375 IL Primary

Addresses

Primary practice location

1155 N Main St Ste C
Glendale Heights, IL 60139-3508

Mailing address

1155 N Main St Ste C
Glendale Heights, IL 60139-3508
Phone (630) 295-9058

National Provider Directory

National Provider Directory

Locations

1155 N Main St
Ste C
Glendale Heights, IL 60139
Phone (630) 295-9058

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1093015646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 N MAIN ST STE C",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601393508",
            "telephone_number": "630-295-9058",
            "fax_number": "630-295-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 N MAIN ST STE C",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601393508",
            "telephone_number": "630-295-9058",
            "fax_number": "630-295-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURE CARE HOME HEALTH CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-29",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "MASICLAT",
        "authorized_official_first_name": "MYLENE",
        "authorized_official_middle_name": "ESMERALDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-295-9058",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "IL10375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.