Active NPI
Sure Care Home Services, Inc.
- In Home Supportive Care Agency
- Glendale Heights, IL
National Provider Identifier
1407093347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 66258807
- Legal business name
- SURE CARE HOME SERVICES, INC.
- Practice address
- 1155 N Main St
Suite C & D
Glendale Heights, IL 60139-3508 - Phone
- (630) 295-9058
- Fax
- (630) 295-9059
- NPI assigned
- Jan 14, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Mylene Masiclat
- Title
- President
- Phone
- (630) 295-9058
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 66258807 | IL | Primary |
Addresses
Primary practice location
1155 N Main St
Suite C & D
Glendale Heights, IL 60139-3508
Mailing address
1155 N Main St
Suite C & D
Glendale Heights, IL 60139-3508
Phone (630) 295-9058
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66258807 | Other | IL | STATE OF ILLNOIS BUSINESS LICENSE |
| PENDING/PROVISIONAL | Other | IL | ILLINOIS DEPARTMENT OF PUBLIC HEALTH LICENSE |
National Provider Directory
National Provider Directory- Tax ID family
- Above and Beyond Network Home Care Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Naperville, IL
- NPI 1609324458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231891200000",
"number": "1407093347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 N MAIN ST",
"address_2": "SUITE C & D",
"city": "GLENDALE HEIGHTS",
"state": "IL",
"postal_code": "601393508",
"telephone_number": "630-295-9058",
"fax_number": "630-295-9059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 N MAIN ST",
"address_2": "SUITE C & D",
"city": "GLENDALE HEIGHTS",
"state": "IL",
"postal_code": "601393508",
"telephone_number": "630-295-9058",
"fax_number": "630-295-9059"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURE CARE HOME SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-14",
"last_updated": "2009-01-14",
"status": "A",
"authorized_official_last_name": "MASICLAT",
"authorized_official_first_name": "MYLENE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-295-9058",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "IL",
"license": "66258807",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF ILLNOIS BUSINESS LICENSE",
"identifier": "66258807",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS DEPARTMENT OF PUBLIC HEALTH LICENSE",
"identifier": "PENDING/PROVISIONAL",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glendale Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.