Organization Active NPI

Wound & Rehab Home Health Care, Inc

  • Home Health Agency
  • Park Ridge, IL
National Provider Identifier
1184954190
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1011294 Issued in IL
Legal business name
WOUND & REHAB HOME HEALTH CARE, INC
Practice address
700 Busse Hwy
Park Ridge, IL 60068-2402
Phone
(847) 692-6000
Fax
(847) 692-6112
NPI assigned
Jan 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Authorized official

Name
Susan A Mack, NP
Title
President
Phone
(847) 609-2803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1011294 IL Primary

Addresses

Primary practice location

700 Busse Hwy
Park Ridge, IL 60068-2402

Mailing address

514 Teela LN
Des Plaines, IL 60016-1230
Phone (847) 609-2803

National Provider Directory

National Provider Directory

Locations

700 Busse Hwy
Park Ridge, IL 60068
Phone (847) 692-6000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1184954190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 TEELA LN",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161230",
            "telephone_number": "847-609-2803",
            "fax_number": "847-692-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 BUSSE HWY",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600682402",
            "telephone_number": "847-692-6000",
            "fax_number": "847-692-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND & REHAB HOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-609-2803",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.