Ventracare Homes Inc

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

Legal business name

VENTRACARE HOMES INC

Practice address

11025 Ridgeland Ave
Chicago Ridge, IL 60415-2492

Phone

(708) 953-1476

Fax

(800) 990-3770

NPI assigned

Feb 8, 2023

Last updated

Apr 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sally A Nwafor, PH.D

Title

Chief Executive Officer

Phone

(708) 953-1476

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1316644552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 ASTER LN",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604904532",
            "telephone_number": "708-953-1476",
            "fax_number": "800-990-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11025 RIDGELAND AVE",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152492",
            "telephone_number": "708-953-1476",
            "fax_number": "800-990-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTRACARE HOMES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-08",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "NWAFOR",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "708-953-1476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herbert M User, MD
• Prakash Vaishnav, M.D.
• Vascular Surgery Associates, PLLC
• Estrellita Velez Jo, MD
• Venogo Mobile Phlebotomy LLC
• Village of Chicago Ridge
• Visionworks Inc (Visionworks)
• Valerie Anne Walter, DPT
• Ariel Brianna Ward
• Tiffany S Warren

• Pediatric Skilled Nursing Facility in Chicago Ridge, IL
• Providers in Chicago Ridge, IL by specialty
• Pediatric Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.