NPIMap

Organization Active NPI

Amedisys Illinois, L.L.C.

Doing business as Dyna Care Home Health of Chicago, an Amedisys Company

  • Home Health Agency
  • Chicago, IL
National Provider Identifier
1356506547
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1829488 Issued in IL
Legal business name
AMEDISYS ILLINOIS, L.L.C.
Doing business as
Dyna Care Home Health of Chicago, an Amedisys Company
Practice address
3254 N Lincoln Ave Ste C
Chicago, IL 60657-1109
Phone
(773) 665-2060
Fax
(773) 665-2090
NPI assigned
Jul 28, 2008
Last updated
Jul 28, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
AMEDISYS ILLINOIS, L.L.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Mr. Larry Graham
Title
President
Phone
(225) 292-2031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1829488 IL Primary

Addresses

Primary practice location

3254 N Lincoln Ave Ste C
Chicago, IL 60657-1109

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 298-3548

Other names 1

  • Dyna Care Home Health of Chicago, an Amedisys Company Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amedisys Illinois LLC9 organizations share this tax ID, including this one
Part of
Amedisys Illinois LLC

Other organizations with this tax ID 8

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": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1356506547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-298-3548",
            "fax_number": "225-295-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3254 N LINCOLN AVE STE C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571109",
            "telephone_number": "773-665-2060",
            "fax_number": "773-665-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS ILLINOIS, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMEDISYS ILLINOIS, L.L.C.",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-292-2031",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1829488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dyna Care Home Health of Chicago, an Amedisys Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 28, 2008; 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.