Organization Active NPI

Mainstay Homehealth Services, Inc

  • Home Health Agency
  • Gurnee, IL
National Provider Identifier
1295980225
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MAINSTAY HOMEHEALTH SERVICES, INC
Practice address
649 Wilbur CT
Gurnee, IL 60031-3132
Phone
(847) 367-7472
NPI assigned
Nov 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Authorized official

Name
Mr. Alexander John Jarosz
Title
President
Phone
(847) 367-7472

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

649 Wilbur CT
Gurnee, IL 60031-3132

Mailing address

649 Wilbur CT
Gurnee, IL 60031-3132
Phone (847) 367-7472

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1295980225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 WILBUR CT",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313132",
            "telephone_number": "847-367-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 WILBUR CT",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313132",
            "telephone_number": "847-367-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINSTAY HOMEHEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "JAROSZ",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-367-7472",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.