Active NPI
Cool Crown Health Care Services Limited
- Nursing Care Agency
- Chicago, IL
National Provider Identifier
1285397935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- COOL CROWN HEALTH CARE SERVICES LIMITED
- Practice address
- 3525 W Peterson Ave Ste 222
Chicago, IL 60659-3314 - Phone
- (773) 293-7752
- NPI assigned
- Oct 20, 2021
- 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
- Florence Adebiyi
- Title
- Agency Manager
- Phone
- (773) 293-7752
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | |||
| Nursing Care Agency | 251J00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
3525 W Peterson Ave Ste 222
Chicago, IL 60659-3314
Mailing address
3525 W Peterson Ave Ste 222
Chicago, IL 60659-3314
Phone (773) 293-7752
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653350400000",
"number": "1285397935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3525 W PETERSON AVE STE 222",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606593314",
"telephone_number": "773-293-7752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3525 W PETERSON AVE STE 222",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606593314",
"telephone_number": "773-293-7752"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COOL CROWN HEALTH CARE SERVICES LIMITED",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-20",
"last_updated": "2022-05-24",
"certification_date": "2022-05-24",
"status": "A",
"authorized_official_last_name": "ADEBIYI",
"authorized_official_first_name": "FLORENCE",
"authorized_official_title_or_position": "AGENCY MANAGER",
"authorized_official_telephone_number": "773-293-7752"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"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 May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.