Organization Active NPI

Hexagram Home Health Care, LLC

  • Home Health Agency
  • Chicago, IL
National Provider Identifier
1275738502
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010712 Issued in IL
Legal business name
HEXAGRAM HOME HEALTH CARE, LLC
Practice address
4747 W Peterson Ave
410
Chicago, IL 60646-5712
Phone
(773) 205-1416
Fax
(773) 557-7048
NPI assigned
Jun 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Authorized official

Name
Mrs. Jacqueline Embradura Tuanqui
Title
Administrator
Phone
(773) 205-1416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010712 IL Primary

Addresses

Primary practice location

4747 W Peterson Ave
410
Chicago, IL 60646-5712

Mailing address

4747 W Peterson Ave
410
Chicago, IL 60646-5712
Phone (773) 205-1416

National Provider Directory

National Provider Directory

Locations

5901 N Cicero Ave
Ste 401
Chicago, IL 60646
Phone (773) 205-1414

5901 N Cicero Ave
Ste 508
Chicago, IL 60646
Phone (773) 205-1416

4747 W Peterson Ave
Ste 410
Chicago, IL 60646
Phone (773) 205-1416

4747 W Peterson Ave
Ste 401
Chicago, IL 60646
Phone (773) 481-0100

600 Tollgate Rd
Ste C
Elgin, IL 60123
Phone (847) 857-5200

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1275738502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 W PETERSON AVE",
            "address_2": "410",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465712",
            "telephone_number": "773-205-1416",
            "fax_number": "773-557-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 W PETERSON AVE",
            "address_2": "410",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465712",
            "telephone_number": "773-205-1416",
            "fax_number": "773-557-7048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEXAGRAM HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "TUANQUI",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "EMBRADURA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-205-1416",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.