Active NPI
Devine Home Care, Inc.
- In Home Supportive Care Agency
- Skokie, IL
National Provider Identifier
1104476514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Homemaker | 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 DirectoryLocations
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.