Fidelity Health Care & Management

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

FIDELITY HEALTH CARE & MANAGEMENT

Practice address

16753 Carrington Dr
South Holland, IL 60473-4611

Phone

(773) 573-9961

NPI assigned

Apr 8, 2013

Last updated

Apr 8, 2013By 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

Ms. Cathryn D Williams

Title

C.E.O

Phone

(773) 573-9961

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365379200000",
    "number": "1295178432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16753 CARRINGTON DR",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604734611",
            "telephone_number": "773-573-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16753 CARRINGTON DR",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604734611",
            "telephone_number": "773-573-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDELITY HEALTH CARE & MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-08",
        "last_updated": "2013-04-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CATHRYN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "773-573-9961",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; 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.