Organization Active NPI

Medserve Home Healthcare, Inc

  • Home Health Agency
  • Chicago, IL
National Provider Identifier
1144413048
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010753 Issued in IL
Legal business name
MEDSERVE HOME HEALTHCARE, INC
Practice address
4001 W Devon Ave
Suite 402
Chicago, IL 60646-4539
Phone
(773) 282-6721
Fax
(866) 337-8961
NPI assigned
Aug 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Christine Cheryl Gaspar, RN
Title
Administrator / Don
Phone
(773) 282-6721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010753 IL Primary

Addresses

Primary practice location

4001 W Devon Ave
Suite 402
Chicago, IL 60646-4539

Mailing address

4001 W Devon Ave
Suite 402
Chicago, IL 60646-4539
Phone (773) 282-6721

National Provider Directory

National Provider Directory

Locations

4001 W Devon Ave
Ste 402
Chicago, IL 60646
Phone (773) 282-6721

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1144413048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 W DEVON AVE",
            "address_2": "SUITE 402",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464539",
            "telephone_number": "773-282-6721",
            "fax_number": "866-337-8961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W DEVON AVE",
            "address_2": "SUITE 402",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464539",
            "telephone_number": "773-282-6721",
            "fax_number": "866-337-8961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSERVE HOME HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "GASPAR",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "CHERYL",
        "authorized_official_title_or_position": "ADMINISTRATOR / DON",
        "authorized_official_telephone_number": "773-282-6721",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.