Organization Active NPI

Honey Pond Group LLC

Doing business as Medinah Homecare Services

  • In Home Supportive Care Agency
  • Chicago, IL
National Provider Identifier
1154158269
Registry record updated Sep 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Sep 14, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3002775OtherILLICENSE NUMBER

Other names 1

  • Medinah Homecare Services Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.