Individual provider Active NPI

Lucilia Rios

  • Home Health Aide
  • Waukegan, IL
National Provider Identifier
1124513130
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
2424 Grand Ave Ste 2
Waukegan, IL 60085-3315
Phone
(847) 599-8181
Fax
(847) 672-8943
NPI assigned
Jun 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Primary

Addresses

Primary practice location

2424 Grand Ave Ste 2
Waukegan, IL 60085-3315

Mailing address

2424 Grand Ave
Waukegan, IL 60085-3315
Phone (847) 599-8181

Other identifiers 1

IdentifierTypeStateIssuer
1124513130OtherILSELF PAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lucy'S Home Care Express, Inc Home Health Aide CurrentSince Feb 13, 2022 Accepting new patients

Locations

810 W Glen Flora Ave
Waukegan, IL 60085

2424 Grand Ave
Ste 2
Waukegan, IL 60085
Phone (847) 599-8181

2424 Grand Ave
Waukegan, IL 60085
Phone (847) 336-2250

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1124513130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 GRAND AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600853315",
            "telephone_number": "847-599-8181",
            "fax_number": "847-672-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 GRAND AVE STE 2",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600853315",
            "telephone_number": "847-599-8181",
            "fax_number": "847-672-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOS",
        "first_name": "LUCILIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELF PAID",
            "identifier": "1124513130",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukegan, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.