Organization Active NPI

Physicians Choice Home Health Inc.

  • Home Health Agency
  • Tinley Park, IL
National Provider Identifier
1245879113
Registry record updated Dec 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PHYSICIANS CHOICE HOME HEALTH INC.
Practice address
18400 Maple Creek Dr Ste 400
Tinley Park, IL 60477-3015
Phone
(815) 508-5253
NPI assigned
Dec 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2019

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

Authorized official

Name
Herminia Manabat, PT
Title
Administrator
Phone
(815) 508-5253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

18400 Maple Creek Dr Ste 400
Tinley Park, IL 60477-3015

Mailing address

18400 Maple Creek Dr Ste 400
Tinley Park, IL 60477-3015
Phone (815) 508-5253

Other identifiers 1

IdentifierTypeStateIssuer
1011184OtherILIL LICENCE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL WellSky

National Provider Directory

National Provider Directory

Locations

18400 Maple Creek Dr
Ste 400
Tinley Park, IL 60477
Phone (815) 508-5253

NPI Registry JSON

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

{
    "created_epoch": "1577145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577145600000",
    "number": "1245879113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18400 MAPLE CREEK DR STE 400",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773015",
            "telephone_number": "815-508-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18400 MAPLE CREEK DR STE 400",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773015",
            "telephone_number": "815-508-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS CHOICE HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-24",
        "last_updated": "2019-12-24",
        "certification_date": "2019-12-24",
        "status": "A",
        "authorized_official_last_name": "MANABAT",
        "authorized_official_first_name": "HERMINIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "815-508-5253",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL LICENCE",
            "identifier": "1011184",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WellSky",
            "affiliation": "N",
            "address_1": "18400 Maple Creek Dr Ste 400",
            "city": "Tinley Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604773015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2019; 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.