Providence Homecare Services Inc

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

PROVIDENCE HOMECARE SERVICES INC

Practice address

6965 N Western Ave
Chicago, IL 60645-4710

Phone

(773) 274-3627

NPI assigned

Oct 23, 2014

Last updated

May 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wilson Atiabet

Title

Owner

Phone

(773) 274-3627

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1275938912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6965 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606454710",
            "telephone_number": "773-274-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6965 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606454710",
            "telephone_number": "773-274-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HOMECARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "ATIABET",
        "authorized_official_first_name": "WILSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-274-3627"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Marc Provenzano, CRNA
• Proverbs 3 PC (That's The Tooth)
• Proverbs 3 PC (That's The Tooth)
• Tim S. Provias, M.D.
• Providence Center
• Provident Hospital of Cook County
• Provident Hospital of Cook County
• Provident Hospital of Cook County
• Provider Connection
• Provider Services at St Bernard

• Home Health Aide in Chicago, IL
• Providers in Chicago, IL by specialty
• Home Health Aide in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.