Suburban Home Health Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1011617 Issued in IL

Legal business name

SUBURBAN HOME HEALTH CARE, INC.

Practice address

9318 S Kedzie Ave
Suite 8
Evergreen Park, IL 60805-2323

Phone

(708) 907-3912

Fax

(708) 907-3915

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Ashraf Ali Elkossei, P.T.

Title

President

Phone

(708) 907-3912

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Big Heart Home Health Doing business as

Locations

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1093877656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9318 S KEDZIE AVE",
            "address_2": "SUITE 8",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052323",
            "telephone_number": "708-907-3912",
            "fax_number": "708-907-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9318 S KEDZIE AVE",
            "address_2": "SUITE 8",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052323",
            "telephone_number": "708-907-3912",
            "fax_number": "708-907-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "ELKOSSEI",
        "authorized_official_first_name": "ASHRAF",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-907-3912",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "14D1023779",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Big Heart Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Dec 18, 2012; 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.