Hibernian Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HIBERNIAN HOME CARE

Practice address

4550 W 103Rd St Ste 304
Oak Lawn, IL 60453-4868

Phone

(708) 634-2450

Fax

(708) 634-2450

NPI assigned

Nov 17, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Mary Nora Murphy, RN

Title

Agency Owner/Manager

Phone

(630) 360-8203

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1295444313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 W 103RD ST STE 304",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534868",
            "telephone_number": "708-634-2450",
            "fax_number": "708-634-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 W 103RD ST STE 304",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534868",
            "telephone_number": "708-634-2450",
            "fax_number": "708-634-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIBERNIAN HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "NORA",
        "authorized_official_title_or_position": "AGENCY OWNER/MANAGER",
        "authorized_official_telephone_number": "630-360-8203",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Axiscare.com",
            "affiliation": "N",
            "endpointDescription": "documentation",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4550 W 103rd St Ste 304",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604534868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.

Verify at the official NPI Registry.