Organization Active NPI

Home Care With Dignity

Doing business as Assisting Hands Home Care

  • In Home Supportive Care Agency
  • Libertyville, IL
National Provider Identifier
1255778536
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
3000757 Issued in IL
Legal business name
HOME CARE WITH DIGNITY
Doing business as
Assisting Hands Home Care
Practice address
930 Burridge St
Libertyville, IL 60048-2501
Phone
(847) 837-3470
Fax
(847) 837-3471
NPI assigned
May 28, 2013
Last updated
May 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Authorized official

Name
Mrs. Jeannine Rae Mattson
Title
President/Owner
Phone
(847) 837-3470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 3000757 IL Primary

Addresses

Primary practice location

930 Burridge St
Libertyville, IL 60048-2501

Mailing address

1590 S Milwaukee Ave
Suite #308
Libertyville, IL 60048-3793
Phone (847) 837-3470

Other names 1

  • Assisting Hands Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

1590 S Milwaukee Ave
Ste 308
Libertyville, IL 60048

NPI Registry JSON

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1255778536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 S MILWAUKEE AVE",
            "address_2": "SUITE #308",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483793",
            "telephone_number": "847-837-3470",
            "fax_number": "847-837-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 BURRIDGE ST",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482501",
            "telephone_number": "847-837-3470",
            "fax_number": "847-837-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE WITH DIGNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "MATTSON",
        "authorized_official_first_name": "JEANNINE",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "847-837-3470",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "3000757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assisting Hands Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.