Organization Active NPI

JKL in-Home Care, LLC

  • In Home Supportive Care Agency
  • Northbrook, IL
National Provider Identifier
1174308407
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
JKL IN-HOME CARE, LLC
Practice address
1955 Raymond Dr Ste 108
Northbrook, IL 60062-6731
Phone
(847) 999-3313
Fax
(847) 999-3309
NPI assigned
Aug 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Authorized official

Name
Mr. Jim Lederer
Title
Owner/Director
Phone
(847) 999-3313

Specialties & licenses 1

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

Addresses

Primary practice location

1955 Raymond Dr Ste 108
Northbrook, IL 60062-6731

Mailing address

1955 Raymond Dr Ste 108
Northbrook, IL 60062-6731
Phone (847) 999-3313

Other names 1

  • Visiting Angels of Northbrook Doing business as

National Provider Directory

National Provider Directory

Locations

1955 Raymond Dr
Ste 108
Northbrook, IL 60062
Phone (847) 927-1666

NPI Registry JSON

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1174308407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 RAYMOND DR STE 108",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600626731",
            "telephone_number": "847-999-3313",
            "fax_number": "847-999-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 RAYMOND DR STE 108",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600626731",
            "telephone_number": "847-999-3313",
            "fax_number": "847-999-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JKL IN-HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "LEDERER",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "847-999-3313",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels of Northbrook",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.