NPIMap

Organization Active NPI

Prolife Home Health Care, Inc.

  • Home Health Agency
  • Skokie, IL
National Provider Identifier
1386884005
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010909 Issued in IL
Legal business name
PROLIFE HOME HEALTH CARE, INC.
Practice address
4836 Main St
Suite 105
Skokie, IL 60077-2594
Phone
(847) 674-1110
Fax
(847) 674-1101
NPI assigned
Feb 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Authorized official

Name
Miss Sarah Jane Triumfante
Title
Nursing Supervisor
Phone
(773) 807-1960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010909 IL Primary

Addresses

Primary practice location

4836 Main St
Suite 105
Skokie, IL 60077-2594

Mailing address

4836 Main St
Suite 105
Skokie, IL 60077-2594
Phone (847) 674-1110

Other identifiers 1

IdentifierTypeStateIssuer
1010909OtherILIDPH LICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

4836 Main St
Ste 105
Skokie, IL 60077
Phone (847) 674-1110

NPI Registry JSON

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

{
    "created_epoch": "1235174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1386884005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4836 MAIN ST",
            "address_2": "SUITE 105",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772594",
            "telephone_number": "847-674-1110",
            "fax_number": "847-674-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4836 MAIN ST",
            "address_2": "SUITE 105",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772594",
            "telephone_number": "847-674-1110",
            "fax_number": "847-674-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROLIFE HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-21",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "TRIUMFANTE",
        "authorized_official_first_name": "SARAH JANE",
        "authorized_official_title_or_position": "NURSING SUPERVISOR",
        "authorized_official_telephone_number": "773-807-1960",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDPH LICENSE NUMBER",
            "identifier": "1010909",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; 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.