Medstar Home Health Services LTD.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MEDSTAR HOME HEALTH SERVICES LTD.

Practice address

1019 W Fulton Market
Suite 200
Chicago, IL 60607-1222

Phone

(312) 226-2828

Fax

(312) 226-1222

NPI assigned

Apr 15, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Obed Pena

Title

President

Phone

(312) 226-2828

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254787200000",
    "number": "1093958365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 W FULTON MARKET",
            "address_2": "SUITE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071222",
            "telephone_number": "312-226-2828",
            "fax_number": "312-226-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 W FULTON MARKET",
            "address_2": "SUITE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071222",
            "telephone_number": "312-226-2828",
            "fax_number": "312-226-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR HOME HEALTH SERVICES LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-15",
        "last_updated": "2009-10-06",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "OBED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-226-2828",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "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 Oct 6, 2009; 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.