Beverly Hills Home Care

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

0530 Issued in IL

Legal business name

BEVERLY HILLS HOME CARE

Practice address

10657 S Longwood Dr
Chicago, IL 60643-2616

Phone

(773) 457-6005

NPI assigned

Aug 3, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Roselyn A San Juan

Title

Owner/Chief Executive Director

Phone

(773) 457-6005

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1437535309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 437746",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606437746",
            "telephone_number": "773-457-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10657 S LONGWOOD DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432616",
            "telephone_number": "773-457-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY HILLS HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "SAN JUAN",
        "authorized_official_first_name": "ROSELYN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/CHIEF EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "773-457-6005",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IL",
            "license": "0530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Bone and Joint Clinic LLC
• Beverly Family Chiropractic Center
• Beverly Group Mental Health Services, Inc
• Beverly Group MHS, Inc.
• Beverly Henderson LTD P.C
• Beverly Hills Home Services, Inc
• Beverly Physical Therapy LTD
• Beverly Podiatry Center, LLC
• Beverly Psychiatric Services LLC
• Beverly Shores Smile Center

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Chicago, IL
• Providers in Chicago, IL by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.