Corebell Health Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1010719 Issued in IL

Legal business name

COREBELL HEALTH CARE, INC.

Practice address

7161 N Cicero Ave Ste 212
Lincolnwood, IL 60712-2140

Phone

(630) 845-2672

Fax

(630) 845-2652

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Dany Dizon

Title

Administrator

Phone

(630) 845-2672

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1346466208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7161 N CICERO AVE STE 212",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122140",
            "telephone_number": "630-845-2672",
            "fax_number": "630-845-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7161 N CICERO AVE STE 212",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122140",
            "telephone_number": "630-845-2672",
            "fax_number": "630-845-2652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREBELL HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "DIZON",
        "authorized_official_first_name": "DANY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "630-845-2672"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.