Organization Active NPI

Abiding Angels, Inc

  • In Home Supportive Care Agency
  • Chicago, IL
National Provider Identifier
1205109642
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
3000863 Issued in IL
Legal business name
ABIDING ANGELS, INC
Practice address
4157 N Kenmore Ave
#3S
Chicago, IL 60613-6417
Phone
(773) 697-3448
Fax
(773) 634-8468
NPI assigned
Feb 15, 2012
Last updated
Feb 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Authorized official

Name
Mr. Dallas Jansen Rodiek
Title
Ceo
Phone
(773) 697-3448

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 8000255 IL
In Home Supportive Care Agency 253Z00000X 3000863 IL Primary

Addresses

Primary practice location

4157 N Kenmore Ave
#3S
Chicago, IL 60613-6417

Mailing address

4157 N Kenmore Ave
#3S
Chicago, IL 60613-6417
Phone (773) 697-3448

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1205109642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4157 N KENMORE AVE",
            "address_2": "#3S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606136417",
            "telephone_number": "773-697-3448",
            "fax_number": "773-634-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4157 N KENMORE AVE",
            "address_2": "#3S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606136417",
            "telephone_number": "773-697-3448",
            "fax_number": "773-634-8468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABIDING ANGELS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "RODIEK",
        "authorized_official_first_name": "DALLAS",
        "authorized_official_middle_name": "JANSEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-697-3448",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "8000255",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "3000863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 15, 2012; 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.