Organization Active NPI

Chicago Elite Home Care Provider, LLC

  • In Home Supportive Care Agency
  • Palos Heights, IL
National Provider Identifier
1437937232
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CHICAGO ELITE HOME CARE PROVIDER, LLC
Practice address
7808 W College Dr Ste LL1
Palos Heights, IL 60463-1027
Phone
(708) 300-1001
NPI assigned
Sep 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Authorized official

Name
Phoebe Colongon
Title
President
Phone
(708) 300-1001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

7808 W College Dr Ste LL1
Palos Heights, IL 60463-1027

Mailing address

7808 W College Dr Ste LL1
Palos Heights, IL 60463-1027
Phone (708) 300-1001

National Provider Directory

National Provider Directory

Locations

7808 W College Dr
Ste LL1
Palos Heights, IL 60463
Phone (708) 300-1001

NPI Registry JSON

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": "1437937232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7808 W COLLEGE DR STE LL1",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631027",
            "telephone_number": "708-300-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7808 W COLLEGE DR STE LL1",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631027",
            "telephone_number": "708-300-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO ELITE HOME CARE PROVIDER, 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": "COLONGON",
        "authorized_official_first_name": "PHOEBE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-300-1001"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

  • 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.