NPIMap

Organization Active NPI

PSG Services, LLC

Doing business as Interim HealthCare of Chicago

  • Community Based Hospice Care Agency
  • Alsip, IL
National Provider Identifier
1154178499
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PSG SERVICES, LLC
Doing business as
Interim HealthCare of Chicago
Practice address
12855 S Cicero Ave Ste 200
Alsip, IL 60803-3043
Phone
(708) 422-2934
Fax
(866) 625-9406
NPI assigned
May 3, 2024
Organization subpart
Yes
Parent organization
PSG SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Authorized official

Name
Mr. Bernard D Bulger, ADMINISTRATOR
Title
President
Phone
(708) 422-2934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

12855 S Cicero Ave Ste 200
Alsip, IL 60803-3043

Mailing address

12855 S Cicero Ave Ste 200
Alsip, IL 60803-3043
Phone (708) 422-2934

Other names 1

  • Interim HealthCare of Chicago Doing business as

National Provider Directory

National Provider Directory
Tax ID family
PSG Services LLC4 organizations share this tax ID, including this one
Part of
PSG Services LLC

Other organizations with this tax ID 3

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

Locations

12855 S Cicero Ave
#200
Alsip, IL 60803
Phone (708) 422-2934

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1154178499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12855 S CICERO AVE STE 200",
            "city": "ALSIP",
            "state": "IL",
            "postal_code": "608033043",
            "telephone_number": "708-422-2934",
            "fax_number": "866-625-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12855 S CICERO AVE STE 200",
            "city": "ALSIP",
            "state": "IL",
            "postal_code": "608033043",
            "telephone_number": "708-422-2934",
            "fax_number": "866-625-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSG SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PSG SERVICES, LLC",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "BULGER",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-422-2934",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim HealthCare of Chicago",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alsip, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.