1776 Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

1776 HOME CARE, LLC

Practice address

800 Roosevelt Rd Ste E114
Glen Ellyn, IL 60137-5884

Phone

(630) 469-4515

NPI assigned

Jul 17, 2019

Last updated

Jul 17, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nathanael Truitt

Title

Ceo

Phone

(630) 460-4515

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1346893518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROOSEVELT RD STE E114",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROOSEVELT RD STE E114",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375884",
            "telephone_number": "630-469-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1776 HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "TRUITT",
        "authorized_official_first_name": "NATHANAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-460-4515"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Glen Ellyn, IL
• Providers in Glen Ellyn, IL by specialty
• In Home Supportive Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.