Illinois Homecare and Training, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ILLINOIS HOMECARE AND TRAINING, INC.

Practice address

4554 N. Broadway Street
Suite 316
Chicago, IL 60640

Phone

(773) 455-5696

Fax

(773) 784-5154

NPI assigned

Apr 26, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Eddie Ngozi Nwosu

Title

President

Phone

(773) 759-0760

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1306371406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4554 N. BROADWAY STREET",
            "address_2": "SUITE 316",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60640",
            "telephone_number": "773-455-5696",
            "fax_number": "773-784-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4554 N. BROADWAY STREET",
            "address_2": "SUITE 316",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60640",
            "telephone_number": "773-455-5696",
            "fax_number": "773-784-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS HOMECARE AND TRAINING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-26",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "NWOSU",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "NGOZI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-759-0760",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251E00000X",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.