Assistive Health Care Agency LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

ASSISTIVE HEALTH CARE AGENCY LLC

Practice address

250 Parkway Dr Ste 150
Lincolnshire, IL 60069-4340

Phone

(224) 393-1122

Fax

(224) 393-1121

NPI assigned

Aug 5, 2010

Last updated

Jun 2, 2024By 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

Kristen N Ibarra Delgado, BSN, RN

Title

Owner

Phone

(224) 393-1122

Specialties & licenses 2

Addresses

Other names 1

• Assistive Health Care LLC Other name

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717286400000",
    "number": "1356655039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PARKWAY DR STE 150",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600694340",
            "telephone_number": "224-393-1122",
            "fax_number": "224-393-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PARKWAY DR STE 150",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600694340",
            "telephone_number": "224-393-1122",
            "fax_number": "224-393-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTIVE HEALTH CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-05",
        "last_updated": "2024-06-02",
        "certification_date": "2024-06-02",
        "status": "A",
        "authorized_official_last_name": "IBARRA DELGADO",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-393-1122",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assistive Health Care LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lincolnshire, IL
• Providers in Lincolnshire, IL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2024; 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.