Organization Active NPI

Vanderbilt Home Care Corp

  • In Home Supportive Care Agency
  • Chicago, IL
National Provider Identifier
1285333039
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
VANDERBILT HOME CARE CORP
Doing business as
Senior Helpers of Elmwood Park
Practice address
1807 N Harlem Ave
Chicago, IL 60707-3716
Phone
(708) 477-3033
NPI assigned
Mar 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Authorized official

Name
Jacqueline Vanderbilt
Title
President/ Director of Operations
Phone
(708) 477-3033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1807 N Harlem Ave
Chicago, IL 60707-3716

Mailing address

839 S Ridgeland Ave
Oak Park, IL 60304-1434
Phone (773) 746-7087

Other names 1

  • Senior Helpers of Elmwood Park Doing business as

National Provider Directory

National Provider Directory

Locations

1807 N Harlem Ave
Chicago, IL 60707
Phone (708) 477-3033

NPI Registry JSON

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1285333039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 S RIDGELAND AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041434",
            "telephone_number": "773-746-7087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 N HARLEM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607073716",
            "telephone_number": "708-477-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDERBILT HOME CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "VANDERBILT",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "PRESIDENT/ DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "708-477-3033"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Helpers of Elmwood Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 1, 2023; 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.