Chicagoland Home Health Provider, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1010421 Issued in IL

Legal business name

CHICAGOLAND HOME HEALTH PROVIDER, INC.

Practice address

2644 E Dempster St
Suite 101
Park Ridge, IL 60068-8411

Phone

(847) 296-3950

Fax

(847) 296-3955

NPI assigned

Jun 2, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Carolina C Roque, RN

Title

Administrator

Phone

(847) 296-3950

Specialties & licenses 1

Addresses

Tax ID family

Chicagoland Home Health Provider Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Chicagoland Home Health Provider, Inc.

  • Home Health Agency
  • Park Ridge, IL
  • NPI 1326109448
  NPD tax ID

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215975388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2644 E DEMPSTER ST",
            "address_2": "SUITE 101",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600688411",
            "telephone_number": "847-296-3950",
            "fax_number": "847-296-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2644 E DEMPSTER ST",
            "address_2": "SUITE 101",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600688411",
            "telephone_number": "847-296-3950",
            "fax_number": "847-296-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGOLAND HOME HEALTH PROVIDER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROQUE",
        "authorized_official_first_name": "CAROLINA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-296-3950",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chicago Center for Anti Aging Inc
• Chicago Chiropractic Associates LTD
• Chicago Hospice, LLC.
• Chicago Professional Healthcare Services Inc.
• Chicago Surgical Specialists, LLC
• Chicagoland Home Health Provider, Inc.
• Brian Allen Chicoine, MD
• Terry Chris Chiganos Jr., M.D., PH.D.
• Children'S Urology Health Partners
• David Tian Chin, M.D.

• Home Health Agency in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.