Organization Active NPI

Home Care Personal Services, Inc.

  • Home Health Agency
  • Bourbonnais, IL
National Provider Identifier
1205247616
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
300154 Issued in IL
Legal business name
HOME CARE PERSONAL SERVICES, INC.
Practice address
13 Heritage Dr
Bourbonnais, IL 60914-2514
Phone
(815) 935-5339
Fax
(815) 935-5351
NPI assigned
May 20, 2014
Last updated
May 20, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
HOME CARE PERSONAL SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Authorized official

Name
Mrs. Henrietta Hughes, R.N.
Title
President/Owner
Phone
(630) 434-0071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 300154 IL Primary

Addresses

Primary practice location

13 Heritage Dr
Bourbonnais, IL 60914-2514

Mailing address

1809 N Mill St
Suite E
Naperville, IL 60563-1288
Phone (630) 434-0071

Other identifiers 1

IdentifierTypeStateIssuer
300154OtherILIDPH LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Home Care Personal Services Inc4 organizations share this tax ID, including this one
Part of
Home Care Personal Services Inc

Other organizations with this tax ID 3

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

Locations

13 Heritage Dr
Bourbonnais, IL 60914
Phone (815) 935-5339

1809 N Mill St
Ste E
Naperville, IL 60563
Phone (630) 434-0071

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": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1205247616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 N MILL ST",
            "address_2": "SUITE E",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631288",
            "telephone_number": "630-434-0071",
            "fax_number": "630-434-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 HERITAGE DR",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142514",
            "telephone_number": "815-935-5339",
            "fax_number": "815-935-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE PERSONAL SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOME CARE PERSONAL SERVICES, INC.",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "HENRIETTA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "630-434-0071",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "300154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDPH LICENSE",
            "identifier": "300154",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbonnais, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.