Organization Active NPI

Home Bound Healthcare Outpatient Therapy Services LLC

  • Physical Therapy Clinic/Center
  • Lemont, IL
National Provider Identifier
1265686539
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
HOME BOUND HEALTHCARE OUTPATIENT THERAPY SERVICES LLC
Practice address
14200 McCarthy Rd
Lemont, IL 60439-9393
Phone
(847) 288-1650
Fax
(847) 288-1660
NPI assigned
Nov 12, 2008
Last updated
Feb 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Authorized official

Name
Mrs. Julieta Mitra
Title
President/Secretary/Treasurer
Phone
(630) 863-7881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

14200 McCarthy Rd
Lemont, IL 60439-9393

Mailing address

14200 McCarthy Rd
Lemont, IL 60439-9393
Phone (847) 288-1650

National Provider Directory

National Provider Directory

Locations

2930 Mannheim Rd
Ste 1B
Franklin Park, IL 60131
Phone (708) 798-0800

14200 McCarthy Rd
Lemont, IL 60439
Phone (630) 759-3258

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485907200000",
    "number": "1265686539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14200 MCCARTHY RD",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604399393",
            "telephone_number": "847-288-1650",
            "fax_number": "847-288-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14200 MCCARTHY RD",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604399393",
            "telephone_number": "847-288-1650",
            "fax_number": "847-288-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME BOUND HEALTHCARE OUTPATIENT THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-12",
        "last_updated": "2017-02-01",
        "status": "A",
        "authorized_official_last_name": "MITRA",
        "authorized_official_first_name": "JULIETA",
        "authorized_official_title_or_position": "PRESIDENT/SECRETARY/TREASURER",
        "authorized_official_telephone_number": "630-863-7881",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.