Georgetown Home Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1011506 Issued in IL

Legal business name

GEORGETOWN HOME HEALTH CARE INC

Doing business as

Georgetown Home Health, Inc.

Practice address

1700 E Algonquin Rd
Ste 106
Algonquin, IL 60102-9632

Phone

(224) 678-9772

Fax

(224) 333-0496

NPI assigned

May 24, 2012

Organization subpart

No

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

Authorized official

Name

Mopelola Agboje

Title

Administrator

Phone

(224) 678-9772

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Georgetown Home Health, Inc. Doing business as

Tax ID family

Georgetown Home Health Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Georgetown Home Health Care, Inc.

  • Home Health Agency
  • Algonquin, IL
  • NPI 1205125838
  NPD tax ID

Locations

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1124388087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E ALGONQUIN RD",
            "address_2": "STE 106",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601029632",
            "telephone_number": "224-678-9772",
            "fax_number": "224-333-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E ALGONQUIN RD",
            "address_2": "STE 106",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601029632",
            "telephone_number": "224-678-9772",
            "fax_number": "224-333-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "AGBOJE",
        "authorized_official_first_name": "MOPELOLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "224-678-9772"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPT. OF PUBLIC HEALTH",
            "identifier": "1011506",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgetown Home Health, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Anne Gardynski, DNP, APRN, CPNP-PC
• Jennifer E Garofalo, ATC
• Gary M Kohn MD PA
• Kevin Sean Gavin, D.P.M.
• Senait Gebretsadik
• Georgetown Home Health Care, Inc.
• Amanda Elizabeth Gerke, DC
• Deborah A Gibson, PHARMD
• Jeffrey Dean Gindorf, M.D.
• Alexandra Gold

• Home Health Agency in Algonquin, IL
• Providers in Algonquin, 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 May 24, 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.