NPIMap

Organization Active NPI

Roo Home Care LLC

  • In Home Supportive Care Agency
  • Park Ridge, IL
National Provider Identifier
1124887807
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ROO HOME CARE LLC
Practice address
147 S Lincoln Ave
Park Ridge, IL 60068-3809
Phone
(812) 247-6017
NPI assigned
Mar 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Authorized official

Name
Brooks Butler
Title
Coo
Phone
(317) 474-2688

Specialties & licenses 1

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

Addresses

Primary practice location

147 S Lincoln Ave
Park Ridge, IL 60068-3809

Mailing address

642 N Madison St
Bloomington, IN 47404-4095
Phone (317) 474-2688

Other names 1

  • Paid.care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Roo Home Care LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1124887807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 N MADISON ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474044095",
            "telephone_number": "317-474-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 S LINCOLN AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683809",
            "telephone_number": "812-247-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROO HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "BROOKS",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "317-474-2688"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paid.care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.