NPIMap

Organization Active NPI

Novacare Services

  • In Home Supportive Care Agency
  • Hillside, IL
National Provider Identifier
1295324705
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
NOVACARE SERVICES
Practice address
4413 Roosevelt Rd Ste 109
Hillside, IL 60162-2074
Phone
(708) 223-4667
Fax
(800) 990-3770
NPI assigned
Jan 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Authorized official

Name
Sally Nwafor, MSN, M.PHIL, PH.D
Title
Ceo/Administrator
Phone
(708) 223-4667

Specialties & licenses 1

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

Addresses

Primary practice location

4413 Roosevelt Rd Ste 109
Hillside, IL 60162-2074

Mailing address

4413 Roosevelt Rd Ste 109
Hillside, IL 60162-2074
Phone (708) 223-4667

National Provider Directory

National Provider Directory
Tax ID family
Novacare Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4413 Roosevelt Rd
Ste 109
Hillside, IL 60162
Phone (708) 223-4667

NPI Registry JSON

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1295324705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4413 ROOSEVELT RD STE 109",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601622074",
            "telephone_number": "708-223-4667",
            "fax_number": "800-990-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4413 ROOSEVELT RD STE 109",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601622074",
            "telephone_number": "708-223-4667",
            "fax_number": "800-990-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVACARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "NWAFOR",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "708-223-4667",
        "authorized_official_credential": "MSN, M.PHIL, PH.D"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillside, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.