Organization Active NPI

Passion of Pediatrics Nursing and Senior Services, LLC

  • Home Health Agency
  • Hazel Crest, IL
National Provider Identifier
1225656960
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PASSION OF PEDIATRICS NURSING AND SENIOR SERVICES, LLC
Practice address
17505 Oakwood Dr
Hazel Crest, IL 60429-2147
Phone
(708) 566-9610
NPI assigned
Jul 9, 2020
Last updated
Jul 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Authorized official

Name
Rhondalyn Jones
Title
Owner
Phone
(708) 566-9610

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

17505 Oakwood Dr
Hazel Crest, IL 60429-2147

Mailing address

17505 Oakwood Dr
Hazel Crest, IL 60429-2147
Phone (708) 566-9610

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1225656960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17505 OAKWOOD DR",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292147",
            "telephone_number": "708-566-9610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17505 OAKWOOD DR",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292147",
            "telephone_number": "708-566-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSION OF PEDIATRICS NURSING AND SENIOR SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "RHONDALYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-566-9610"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazel Crest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.