Opal Home Health, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1011510 Issued in IL

Legal business name

OPAL HOME HEALTH, LLC

Practice address

4403 W Lawrence Ave
Suite 201
Chicago, IL 60630-2513

Phone

(773) 283-3074

Fax

(773) 283-2986

NPI assigned

Jun 18, 2012

Organization subpart

No

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

Authorized official

Name

Miss Elsie Paez, BSN, RN

Title

Agency Administrator

Phone

(773) 283-3074

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1124381967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 W LAWRENCE AVE",
            "address_2": "SUITE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302513",
            "telephone_number": "773-283-3074",
            "fax_number": "773-283-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 W LAWRENCE AVE",
            "address_2": "SUITE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302513",
            "telephone_number": "773-283-3074",
            "fax_number": "773-283-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPAL HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "PAEZ",
        "authorized_official_first_name": "ELSIE",
        "authorized_official_title_or_position": "AGENCY ADMINISTRATOR",
        "authorized_official_telephone_number": "773-283-3074",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Catherine Oosterbaan, DO
• Op Phcy SVS Inc (Outpatient Phcy SVCS)
• Karin Joann Opacich, PHD, MHPE, OTR-L
• Katrina Mae Magallanes Opada
• Teslim O Opakunle, NP
• Opal Psychotherapy, PLLC
• Opal Therapy for Healing PLLC
• Puneet Opal, MD, PHD
• Adrian Robert Opala, M.D.
• Anne Maria Opalikhin

• Home Health Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.