Fidelity Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1010802 Issued in IL

Legal business name

FIDELITY HEALTH CARE INC

Practice address

3112 W 95TH St
Suiteb
Evergreen Park, IL 60805-2405

Phone

(708) 423-2100

Fax

(708) 423-2101

NPI assigned

Dec 3, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Jordan T Mora

Title

President

Phone

(708) 423-2100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1326376229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3112 W 95TH ST",
            "address_2": "SUITEB",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052405",
            "telephone_number": "708-423-2100",
            "fax_number": "708-423-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3112 W 95TH ST",
            "address_2": "SUITEB",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052405",
            "telephone_number": "708-423-2100",
            "fax_number": "708-423-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDELITY HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-03",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "MORA",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-423-2100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Dental Care of Evergreen Park
• Family Med Care Center SC
• Paula M Farina, PHARMD
• Christian Ashley Fears, LCPC
• Tajia Federick-Williams
• Angelika Fiedorowicz, APRN
• Michael R Fiorucci, MD
• Rowena Adriano Flavier, PT
• Regina M Folliard I, OTR/L
• Aqueelah Ford

• Home Health Agency in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.