Organization Active NPI

Tam an Care LLC

  • In Home Supportive Care Agency
  • Chicago, IL
National Provider Identifier
1104738855
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
TAM AN CARE LLC
Practice address
4422 N Ravenswood Ave
Chicago, IL 60640-5803
Phone
(314) 208-5842
NPI assigned
Sep 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Authorized official

Name
Tri Du Phan
Title
Owner
Phone
(314) 208-5842

Specialties & licenses 1

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

Addresses

Primary practice location

4422 N Ravenswood Ave
Chicago, IL 60640-5803

Mailing address

4422 N Ravenswood Ave
Chicago, IL 60640-5803
Phone (314) 208-5842

NPI Registry JSON

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

{
    "created_epoch": "1789689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1104738855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4422 N RAVENSWOOD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405803",
            "telephone_number": "314-208-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 N RAVENSWOOD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405803",
            "telephone_number": "314-208-5842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAM AN CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-18",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "TRI DU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-208-5842"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.