Positive Health Services

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

POSITIVE HEALTH SERVICES

Practice address

1919 S Highland Ave Ste 208C
Lombard, IL 60148-6208

Phone

(630) 519-3607

Fax

(630) 519-3719

NPI assigned

Oct 21, 2019

Organization subpart

No

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

Authorized official

Name

Corita Crumpton-Davis

Title

Administrator

Phone

(630) 519-3670

Specialties & licenses 3

Addresses

Other names 1

• Positive Health Services Doing business as

Tax ID family

The Cori Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Cori Group Inc.

  • Transportation Broker
  • Lombard, IL
  • NPI 1356939748
  NPD tax ID

Locations

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1316580434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S HIGHLAND AVE STE 208C",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486208",
            "telephone_number": "630-519-3607",
            "fax_number": "630-519-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 S HIGHLAND AVE STE 208C",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486208",
            "telephone_number": "630-519-3607",
            "fax_number": "630-519-3719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-21",
        "last_updated": "2022-09-13",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "CRUMPTON-DAVIS",
        "authorized_official_first_name": "CORITA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "630-519-3670"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Positive Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Positive Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Drew Polaczek
• Kevin Popa, PHARM D
• Ehrin Porter
• Patricia E Porter, PAY.D.
• Kateri Ashvin Porto, DC
• Mohammad Pothiawala
• Valerie Nicole Poulos
• Alexandria Powell
• Shantel Powell, BA
• PPG Labs LLC

• Registered Nurse in Lombard, IL
• Providers in Lombard, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.

Verify at the official NPI Registry.