Northshore Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

3001195 Issued in IL

Legal business name

NORTHSHORE HOME CARE, LLC

Practice address

2504 Washington Street
Suite 502-a
Waukegan, IL 60085-4998

Phone

(847) 782-8890

Fax

(847) 782-8805

NPI assigned

Jan 8, 2015

Organization subpart

No

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

Authorized official

Name

Jerald Yang

Title

Agency Manager

Phone

(847) 782-8890

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1447648720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 WASHINGTON STREET",
            "address_2": "SUITE 502-A",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600854998",
            "telephone_number": "847-782-8890",
            "fax_number": "847-782-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 WASHINGTON STREET",
            "address_2": "SUITE 502-A",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600854998",
            "telephone_number": "847-782-8890",
            "fax_number": "847-782-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "JERALD",
        "authorized_official_title_or_position": "AGENCY MANAGER",
        "authorized_official_telephone_number": "847-782-8890"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "3001195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manros Nickens
• Samantha Ann Nierman
• Astrida Nikurs, MD
• Elizabeth S Nodine, M.D.
• Stephanie Norris, DDS
• Northwest Sleep Provider Inc.
• Nuel Home Healthcare, Inc.
• Shahzadhi Nyakhar, MPH
• Nyj Vital RX Incorporated
• Christina O'Connor, DDS

• In Home Supportive Care Agency in Waukegan, IL
• Providers in Waukegan, IL by specialty
• In Home Supportive Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.