Jac Care at Home, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

JAC CARE AT HOME, LLC

Practice address

6501 W 126TH PL
Palos Heights, IL 60463-1708

Phone

(708) 897-8772

Fax

(708) 942-8929

NPI assigned

Mar 10, 2023

Organization subpart

No

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

Authorized official

Name

Cherrylyn Cardenas Gruenberg

Title

Administrator

Phone

(708) 897-8772

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1124729751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 W 126TH PLACE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "60463",
            "telephone_number": "708-897-8772",
            "fax_number": "708-942-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 W 126TH PL",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631708",
            "telephone_number": "708-897-8772",
            "fax_number": "708-942-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAC CARE AT HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "GRUENBERG",
        "authorized_official_first_name": "CHERRYLYN",
        "authorized_official_middle_name": "CARDENAS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "708-897-8772"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eyad Izar
• J and G Prescription Pharmacy
• Denise A Jabaay, LSW
• Glenn Jabaay, RPH, PHARMD
• Abed Jabr, MD
• Brianna Jackson, LPC
• Lidiya M Jacob, APRN, CNP
• James a Coglianese DDS Ms LTD
• James E. McCormick, D.M.D., M.S., LTD.
• James R Schulte DDS

• In Home Supportive Care Agency in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• In Home Supportive Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.