Active NPI
Sure Care Home Health Corp.
- Home Health Agency
- Glendale Heights, IL
National Provider Identifier
1093015646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- IL10375
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Home Health Agency
- Glendale Heights, IL
- NPI 1457360059
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.