Organization Active NPI

Home Bound Healthcare, Inc.

Doing business as Home Bound Healthcare Medical Equipment and Supplies

  • Durable Medical Equipment & Medical Supplies
  • Hazel Crest, IL
National Provider Identifier
1245457746
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5575760001 Issued in IL
Legal business name
HOME BOUND HEALTHCARE, INC.
Doing business as
Home Bound Healthcare Medical Equipment and Supplies
Practice address
17516 E Carriageway Dr
Unit B
Hazel Crest, IL 60429-2093
Phone
(708) 798-0800
Fax
(708) 798-0870
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David M. Rine, LNHA
Title
Executive Administrator
Phone
(708) 798-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 5575760001 IL Primary

Addresses

Primary practice location

17516 E Carriageway Dr
Unit B
Hazel Crest, IL 60429-2093

Mailing address

17516 E Carriageway Dr
Unit B
Hazel Crest, IL 60429-2093
Phone (708) 798-0800

Other names 1

  • Home Bound Healthcare Medical Equipment and Supplies Doing business as

National Provider Directory

National Provider Directory

Locations

17516 E Carriageway Dr
Ste B
Hazel Crest, IL 60429
Phone (630) 849-8787

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245457746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17516 E CARRIAGEWAY DR",
            "address_2": "UNIT B",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292093",
            "telephone_number": "708-798-0800",
            "fax_number": "708-798-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17516 E CARRIAGEWAY DR",
            "address_2": "UNIT B",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292093",
            "telephone_number": "708-798-0800",
            "fax_number": "708-798-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME BOUND HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RINE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "708-798-0800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "5575760001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Bound Healthcare Medical Equipment and Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 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.