Organization Active NPI

Halinas Residential Home Care

  • In Home Supportive Care Agency
  • St. Charles, IL
National Provider Identifier
1306474192
Registry record updated Mar 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HALINAS RESIDENTIAL HOME CARE
Practice address
825 North Fifth Avenue
St. Charles, IL 60174
Phone
(630) 584-3961
NPI assigned
Mar 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2020

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

Authorized official

Name
Mrs. Halina Anna Migo, RN
Title
Owner
Phone
(630) 584-3961

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

825 North Fifth Avenue
St. Charles, IL 60174

Mailing address

825 North Fifth Avenue
St. Charles, IL 60174
Phone (630) 584-3861

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1585440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585440000000",
    "number": "1306474192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 NORTH FIFTH AVENUE",
            "city": "ST. CHARLES",
            "state": "IL",
            "postal_code": "60174",
            "telephone_number": "630-584-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NORTH FIFTH AVENUE",
            "city": "ST. CHARLES",
            "state": "IL",
            "postal_code": "60174",
            "telephone_number": "630-584-3961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALINAS RESIDENTIAL HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-29",
        "last_updated": "2020-03-29",
        "certification_date": "2020-03-29",
        "status": "A",
        "authorized_official_last_name": "MIGO",
        "authorized_official_first_name": "HALINA",
        "authorized_official_middle_name": "ANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-584-3961",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2020; 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.