Healing Hearts at Home

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HEALING HEARTS AT HOME

Practice address

4040 N Kedzie Ave
Chicago, IL 60618-2441

Phone

(773) 253-4844

NPI assigned

Jan 4, 2018

Last updated

Jan 4, 2018By 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

Mrs. Nereida Medina, MANAGER

Title

Manager

Phone

(773) 828-7155

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515024000000",
    "number": "1093222770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2859 N MENARD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606345240",
            "telephone_number": "773-828-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 N KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606182441",
            "telephone_number": "773-253-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HEARTS AT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-01-04",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "NEREIDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-828-7155",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MANAGER"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "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 Jan 4, 2018; 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.