Rising Sun Home Health Care Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1010465 Issued in IL

Legal business name

RISING SUN HOME HEALTH CARE INC.

Practice address

10330 W Roosevelt Rd Ste 310
Westchester, IL 60154-2566

Phone

(708) 397-5568

Fax

(708) 397-5582

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Bernard Enriquez

Title

Administrator

Phone

(708) 397-5568

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554249600000",
    "number": "1306878152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10330 W ROOSEVELT RD STE 310",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601542566",
            "telephone_number": "708-397-5568",
            "fax_number": "708-397-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10330 W ROOSEVELT RD STE 310",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601542566",
            "telephone_number": "708-397-5568",
            "fax_number": "708-397-5582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1127 S Mannheim Rd",
            "address_2": "STE. 114",
            "address_purpose": "LOCATION",
            "city": "Westchester",
            "state": "IL",
            "postal_code": "601542570",
            "country_code": "US",
            "telephone_number": "708-338-1100",
            "fax_number": "708-338-1107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RISING SUN HOME HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2019-04-03",
        "status": "A",
        "authorized_official_last_name": "ENRIQUEZ",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "708-397-5568",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS  PROVIDER NUMBER",
            "identifier": "147875",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.