A&S Home Healthcare, Inc. – Home Health Agency

Key facts

NPI: 1386776540
Entity type: Organization (NPI type 2)
Primary specialty: Home Health Agency 251E00000X
License: IL1010705 (IL)
Legal business name: A&S HOME HEALTHCARE, INC.
Practice address: 6900 Main St
Suite# 200
Downers Grove, IL 60516-3454
Phone: (630) 964-6100
Fax: (630) 964-6440
NPI assigned: Mar 12, 2007
Organization subpart: No

Authorized official

Name: Sultan Surti, MPH, MBBS
Title: Administrator
Phone: (630) 964-6100

National Provider Directory

Locations

6900 Main St
Ste 200
Downers Grove, IL 60516
Phone (630) 964-6100

837 S Westmore Ave
Ste B26C
Lombard, IL 60148
Phone (630) 620-9981

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Home Health Agency	251E00000X	IL1010705	IL	Yes

Addresses

Primary practice location

6900 Main St
Suite# 200
Downers Grove, IL 60516-3454

Mailing address

6900 Main St
Suite# 200
Downers Grove, IL 60516-3454
Phone (630) 964-6100

Other identifiers

Identifier	Type	State	Issuer
IL1010705	Other	IL	STATE LICENCE NUMBER

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 5, 2010.

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1386776540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 MAIN ST",
            "address_2": "SUITE# 200",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605163454",
            "telephone_number": "630-964-6100",
            "fax_number": "630-964-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 MAIN ST",
            "address_2": "SUITE# 200",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605163454",
            "telephone_number": "630-964-6100",
            "fax_number": "630-964-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A&S HOME HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "SURTI",
        "authorized_official_first_name": "SULTAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "630-964-6100",
        "authorized_official_credential": "MPH, MBBS"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "IL1010705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE NUMBER",
            "identifier": "IL1010705",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

All providers in Downers Grove, IL · Home Health Agency in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2010. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.