NPIMap

Organization Active NPI

Inspired Grace Healthcare, Inc

  • In Home Supportive Care Agency
  • East Dundee, IL
National Provider Identifier
1104328541
Registry record updated Mar 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
3001606 Issued in IL
Legal business name
INSPIRED GRACE HEALTHCARE, INC
Practice address
1051 E Main St Ste 212
East Dundee, IL 60118-2455
Phone
(224) 484-0596
NPI assigned
Mar 1, 2018
Last updated
Mar 1, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
INSPIRED GRACE HEALTHCARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 1, 2018

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

Authorized official

Name
James Idowu
Title
President
Phone
(224) 484-0596

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 3001606 IL Primary

Addresses

Primary practice location

1051 E Main St Ste 212
East Dundee, IL 60118-2455

Mailing address

1051 E Main St Ste 212
East Dundee, IL 60118-2455
Phone (224) 484-0596

Other names 1

  • INSPIRED GRACE HOME CARE Other name

National Provider Directory

National Provider Directory
Tax ID family
Inspired Grace Healthcare Inc4 organizations share this tax ID, including this one
Part of
Inspired Grace Healthcare Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519862400000",
    "number": "1104328541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 E MAIN ST STE 212",
            "city": "EAST DUNDEE",
            "state": "IL",
            "postal_code": "601182455",
            "telephone_number": "224-484-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 E MAIN ST STE 212",
            "city": "EAST DUNDEE",
            "state": "IL",
            "postal_code": "601182455",
            "telephone_number": "224-484-0596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRED GRACE HEALTHCARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INSPIRED GRACE HEALTHCARE, INC",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-01",
        "status": "A",
        "authorized_official_last_name": "IDOWU",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-484-0596"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "3001606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INSPIRED GRACE HOME CARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in East Dundee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.