Organization Active NPI

Servant'S Heart Home Care, LLC

  • In Home Supportive Care Agency
  • Bolingbrook, IL
National Provider Identifier
1336604396
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SERVANT'S HEART HOME CARE, LLC
Practice address
711 Linden CT
Bolingbrook, IL 60440-2620
Phone
(630) 216-8890
NPI assigned
Feb 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Authorized official

Name
Courtney Richardson
Title
Ceo
Phone
(630) 216-8890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

711 Linden CT
Bolingbrook, IL 60440-2620

Mailing address

711 Linden CT
Bolingbrook, IL 60440-2620
Phone (630) 216-8890

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549238400000",
    "number": "1336604396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 LINDEN CT",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402620",
            "telephone_number": "630-216-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 LINDEN CT",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402620",
            "telephone_number": "630-216-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVANT'S HEART HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-216-8890"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.