Organization Active NPI

MCH of Illinois, Inc.

  • Home Health Agency
  • Morton Grove, IL
National Provider Identifier
1467443358
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010132 Issued in IL
Legal business name
MCH OF ILLINOIS, INC.
Doing business as
Deaconess HomeCare
Practice address
8145 River Dr
Morton Grove, IL 60053-2645
Phone
(888) 345-7337
Fax
(847) 966-1240
NPI assigned
Oct 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Nancy C Jakus, RN BSN MBA
Title
Vice President of Operations
Phone
(601) 268-1842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010132 IL Primary

Addresses

Primary practice location

8145 River Dr
Morton Grove, IL 60053-2645

Mailing address

PO Box 16809
Hattiesburg, MS 39404-6809
Phone (601) 268-1842

Other names 1

  • Deaconess HomeCare Doing business as

National Provider Directory

National Provider Directory

Locations

8145 River Dr
Ste 100
Morton Grove, IL 60053
Phone (847) 412-7527

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467443358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16809",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394046809",
            "telephone_number": "601-268-1842",
            "fax_number": "601-268-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8145 RIVER DR",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532645",
            "telephone_number": "888-345-7337",
            "fax_number": "847-966-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCH OF ILLINOIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAKUS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "601-268-1842",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN BSN MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deaconess HomeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morton Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.