Organization Active NPI

Devine Home Care, Inc.

  • In Home Supportive Care Agency
  • Skokie, IL
National Provider Identifier
1104476514
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DEVINE HOME CARE, INC.
Practice address
4632 Church St Ste 100
Skokie, IL 60076-1545
Phone
(773) 293-2600
Fax
(773) 293-2605
NPI assigned
Sep 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Authorized official

Name
Rosita Chiu
Title
President
Phone
(773) 619-9463

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
HomemakerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 376J00000X

Addresses

Primary practice location

4632 Church St Ste 100
Skokie, IL 60076-1545

Mailing address

4632 Church St Ste 100
Skokie, IL 60076-1545
Phone (773) 293-2600

National Provider Directory

National Provider Directory

Locations

4632 Church St
Ste 100
Skokie, IL 60076
Phone (773) 293-2600

NPI Registry JSON

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1104476514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4632 CHURCH ST STE 100",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761545",
            "telephone_number": "773-293-2600",
            "fax_number": "773-293-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4632 CHURCH ST STE 100",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761545",
            "telephone_number": "773-293-2600",
            "fax_number": "773-293-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVINE HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "CHIU",
        "authorized_official_first_name": "ROSITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-619-9463"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.