NPIMap

Organization Active NPI

Ab Petersen Inc

  • In Home Supportive Care Agency
  • South Elgin, IL
National Provider Identifier
1104315399
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
3000143 Issued in IL
Legal business name
AB PETERSEN INC
Practice address
65 Woodbury St
South Elgin, IL 60177-1327
Phone
(847) 429-0100
Fax
(847) 429-0101
NPI assigned
May 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
William Petersen
Title
Owner
Phone
(847) 429-0100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 4000348 IL
In Home Supportive Care Agency 253Z00000X 3000143 IL Primary

Addresses

Primary practice location

65 Woodbury St
South Elgin, IL 60177-1327

Mailing address

65 Woodbury St
South Elgin, IL 60177-1327
Phone (847) 429-0100

Other names 2

  • Visiting Angels Doing business as
  • Visiting Angels of South Elgin Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1104315399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 WOODBURY ST",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601771327",
            "telephone_number": "847-429-0100",
            "fax_number": "847-429-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 WOODBURY ST",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601771327",
            "telephone_number": "847-429-0100",
            "fax_number": "847-429-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AB PETERSEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-03",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-429-0100"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "IL",
            "license": "4000348",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "3000143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Visiting Angels of South Elgin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.