Active NPI
Vanderbilt Home Care Corp
- In Home Supportive Care Agency
- Chicago, IL
National Provider Identifier
1285333039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.