Active NPI
Jonathan Rieckmann
- Home Health Aide
- Glendale Heights, IL
National Provider Identifier
1316465909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 1187 Harbor Court
Glendale Heights, IL 60139 - Phone
- (847) 401-6396
- NPI assigned
- Sep 2, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
1187 Harbor Court
Glendale Heights, IL 60139
Mailing address
1187 Harbor CT
Glendale Heights, IL 60139-3783
Phone (847) 401-6396
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1316465909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1187 HARBOR CT",
"city": "GLENDALE HEIGHTS",
"state": "IL",
"postal_code": "601393783",
"telephone_number": "847-401-6396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1187 HARBOR COURT",
"city": "GLENDALE HEIGHTS",
"state": "IL",
"postal_code": "60139",
"telephone_number": "847-401-6396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIECKMANN",
"first_name": "JONATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-02",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.