NPIMap

Organization Active NPI

Joshua Allied Home Health Corporation NFP

  • Home Health Agency
  • Chicago, IL
National Provider Identifier
1336547488
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JOSHUA ALLIED HOME HEALTH CORPORATION NFP
Practice address
4250 N Marine Dr Apt 2534
Chicago, IL 60613-1741
Phone
(773) 458-7527
NPI assigned
Dec 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Authorized official

Name
Gervase Bolden
Title
President/Director
Phone
(773) 458-7527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4250 N Marine Dr Apt 2534
Chicago, IL 60613-1741

Mailing address

4250 N Marine Dr Apt 2534
Chicago, IL 60613-1741
Phone (773) 458-7527

National Provider Directory

National Provider Directory
Tax ID family
Joshua Allied Home Health Corporation NFP2 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.

NPI Registry JSON

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1336547488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 N MARINE DR APT 2534",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131741",
            "telephone_number": "773-458-7527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 N MARINE DR APT 2534",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131741",
            "telephone_number": "773-458-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA ALLIED HOME HEALTH CORPORATION NFP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-05",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "BOLDEN",
        "authorized_official_first_name": "GERVASE",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "773-458-7527"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.