Organization Active NPI

Special Home Care Services LLC

  • In Home Supportive Care Agency
  • Palos Heights, IL
National Provider Identifier
1205406667
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SPECIAL HOME CARE SERVICES LLC
Practice address
13303 S Ridgeland Ave
Unit C RM 1
Palos Heights, IL 60463
Phone
(708) 293-8800
NPI assigned
Jun 29, 2021
Last updated
Jun 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Authorized official

Name
Worood Doleh
Title
Vice President/Agency Manager
Phone
(708) 262-0562

Specialties & licenses 1

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

Addresses

Primary practice location

13303 S Ridgeland Ave
Unit C RM 1
Palos Heights, IL 60463

Mailing address

1600 Plainfield Rd
Joliet, IL 60435-1902
Phone (708) 293-8800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1205406667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 PLAINFIELD RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604351902",
            "telephone_number": "708-293-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13303 S RIDGELAND AVE",
            "address_2": "UNIT C RM 1",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "60463",
            "telephone_number": "708-293-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "DOLEH",
        "authorized_official_first_name": "WOROOD",
        "authorized_official_title_or_position": "VICE PRESIDENT/AGENCY MANAGER",
        "authorized_official_telephone_number": "708-262-0562"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.