Homestead Careride LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

HOMESTEAD CARERIDE LLC

Practice address

3605 Woodhead Dr Ste 105a
Northbrook, IL 60062-1850

Phone

(847) 715-9191

Fax

(847) 919-4764

NPI assigned

Sep 21, 2023

Last updated

Sep 21, 2023By 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

Hassan Nkulabi

Title

Managing Director

Phone

(847) 715-9191

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1386423168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 WOODHEAD DR STE 105A",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621850",
            "telephone_number": "847-715-9191",
            "fax_number": "847-919-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 WOODHEAD DR STE 105A",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621850",
            "telephone_number": "847-715-9191",
            "fax_number": "847-919-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD CARERIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "NKULABI",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "847-715-9191"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amy Hong

• Non-emergency Medical Transport (VAN) in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Non-emergency Medical Transport (VAN) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.