Homecare and Hair LLC

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

HOMECARE AND HAIR LLC

Practice address

3432 W Diversey Ave FL 2
Chicago, IL 60647-1221

Phone

(312) 777-9105

NPI assigned

Jun 14, 2022

Organization subpart

No

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

Authorized official

Name

Cleshawn Henry, CMAA

Title

Medical Assistant

Phone

(312) 777-9105

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1295465060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607004",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606600961",
            "telephone_number": "773-640-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3432 W DIVERSEY AVE FL 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606471221",
            "telephone_number": "312-777-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMECARE AND HAIR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "CLESHAWN",
        "authorized_official_title_or_position": "MEDICAL ASSISTANT",
        "authorized_official_telephone_number": "312-777-9105",
        "authorized_official_credential": "CMAA"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Homecareandhair555@icloud.com",
            "affiliation": "N",
            "address_1": "3432 W Diversey Ave Fl 2",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606471221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Homecare Solved Corp
• Homecoming PLLC
• Homelink Health Services, Inc
• Homelink Healthcare, LTD

• Home Health Registered Nurse in Chicago, IL
• Providers in Chicago, IL by specialty
• Home Health Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.