Organization Active NPI

Marina Home Healthcare

  • Home Health Agency
  • Burr Ridge, IL
National Provider Identifier
1316698517
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jan 10, 2022

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

Authorized official

Name
Rana RaddawiNPI 1790418994
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)CodeLicenseStatePrimary
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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.