Organization Active NPI

Homer Glen Medical Services Corp

  • Non-emergency Medical Transport (VAN)
  • Elk Grove Village, IL
National Provider Identifier
1285289421
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
HOMER GLEN MEDICAL SERVICES CORP
Practice address
1550 E Higgins Rd Ste 130
Elk Grove Village, IL 60007-1627
Phone
(847) 621-2932
NPI assigned
Aug 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Authorized official

Name
Veronica AbegundeNPI 1740500826
Title
President
Phone
(312) 818-8667

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

1550 E Higgins Rd Ste 130
Elk Grove Village, IL 60007-1627

Mailing address

1550 E Higgins Rd Ste 130
Elk Grove Village, IL 60007-1627
Phone (847) 621-2932

National Provider Directory

National Provider Directory

Locations

1550 E Higgins Rd
Ste 130
Elk Grove Village, IL 60007
Phone (847) 621-2932

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564963200000",
    "number": "1285289421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 E HIGGINS RD STE 130",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600071627",
            "telephone_number": "847-621-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 E HIGGINS RD STE 130",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600071627",
            "telephone_number": "847-621-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMER GLEN MEDICAL SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A",
        "authorized_official_last_name": "ABEGUNDE",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-818-8667"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.