Active NPI
Marina Home Healthcare
- Home Health Agency
- Burr Ridge, IL
National Provider Identifier
1316698517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MARINA HOME HEALTHCARE
- Practice address
- 47 Durham CT # 14
Burr Ridge, IL 60527-7938 - Phone
- (630) 402-8328
- NPI assigned
- Jan 10, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rana Raddawi
- Title
- PHD
- Phone
- (630) 402-8328
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
47 Durham CT # 14
Burr Ridge, IL 60527-7938
Mailing address
47 Durham CT # 14
Burr Ridge, IL 60527-7938
Phone (630) 402-8328
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interpreter
- Burr Ridge, IL
- NPI 1790418994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641772800000",
"number": "1316698517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 DURHAM CT # 14",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605277938",
"telephone_number": "630-402-8328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 DURHAM CT # 14",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605277938",
"telephone_number": "630-402-8328"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARINA HOME HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-10",
"last_updated": "2022-01-10",
"certification_date": "2022-01-10",
"status": "A",
"authorized_official_last_name": "RADDAWI",
"authorized_official_first_name": "RANA",
"authorized_official_title_or_position": "PHD",
"authorized_official_telephone_number": "630-402-8328"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burr Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.