Organization Active NPI

Management Support Inc

  • Homemaker
  • Matteson, IL
National Provider Identifier
1275234338
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
MANAGEMENT SUPPORT INC
Practice address
4749 Lincoln Mall Dr # 202-I
Matteson, IL 60443-2348
Phone
(708) 288-7827
NPI assigned
Mar 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Ms. Yinka K Otabor, REGISTERED NURSE
Title
President
Phone
(708) 288-7827

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
HomemakerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 376J00000X Primary

Addresses

Primary practice location

4749 Lincoln Mall Dr # 202-I
Matteson, IL 60443-2348

Mailing address

4749 Lincoln Mall Dr Ste 202-I
Matteson, IL 60443-2348
Phone (708) 288-7827

Other names 2

  • MANAGEMENT SUPPORT 1ST CARE HOMEMAKER Doing business as
  • MANAGEMENT SUPPORT 1ST CARE HOMEMAKER SERVICES Doing business as

National Provider Directory

National Provider Directory

Locations

4749 Lincoln Mall Dr
Ste 202I
Matteson, IL 60443

4749 Lincoln Mall Dr
#202I
Matteson, IL 60443
Phone (708) 288-7827

NPI Registry JSON

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1275234338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4749 LINCOLN MALL DR STE 202-I",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432348",
            "telephone_number": "708-288-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4749 LINCOLN MALL DR # 202-I",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432348",
            "telephone_number": "708-288-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANAGEMENT SUPPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "OTABOR",
        "authorized_official_first_name": "YINKA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-288-7827",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MANAGEMENT SUPPORT 1ST CARE HOMEMAKER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MANAGEMENT SUPPORT 1ST CARE HOMEMAKER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MANAGEMENT SUPPORT 1ST CARE HOMEMAKER SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Matteson, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.