Active NPI
Honey Pond Group LLC
Doing business as Medinah Homecare Services
- In Home Supportive Care Agency
- Chicago, IL
National Provider Identifier
1154158269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- HONEY POND GROUP LLC
- Doing business as
- Medinah Homecare Services
- Practice address
- 1165 N Milwaukee Ave Apt 1504
Chicago, IL 60642-4045 - Phone
- (312) 975-0850
- NPI assigned
- Sep 14, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aderonke A. Kilaso
- Title
- Agency Administrator
- Phone
- (312) 975-0850
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
1165 N Milwaukee Ave Apt 1504
Chicago, IL 60642-4045
Mailing address
4000 W Montrose Ave # 2133
Chicago, IL 60641-2140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3002775 | Other | IL | LICENSE NUMBER |
Other names 1
- Medinah Homecare Services
National Provider Directory
National Provider DirectoryLocations
4000 W Montrose Ave
Chicago, IL 60641
Phone (312) 899-6004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726272000000",
"number": "1154158269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 W MONTROSE AVE # 2133",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606412140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1165 N MILWAUKEE AVE APT 1504",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606424045",
"telephone_number": "312-975-0850"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HONEY POND GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-14",
"last_updated": "2024-09-14",
"certification_date": "2024-09-14",
"status": "A",
"authorized_official_last_name": "KILASO",
"authorized_official_first_name": "ADERONKE",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "AGENCY ADMINISTRATOR",
"authorized_official_telephone_number": "312-975-0850"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "3002775",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medinah Homecare Services",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 14, 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.