Angelica Latrice Bianca Holman

Primary specialty

DriverTaxonomy code 172A00000X

License

MIGHTY1 Issued in IL

Practice address

9980 Holly LN
Des Plaines, IL 60016-1423

Phone

(984) 381-1603

NPI assigned

Sep 21, 2026

Last updated

Sep 21, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Shombe Jackson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1477465805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9980 HOLLY LN",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161423",
            "telephone_number": "984-381-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9980 HOLLY LN",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161423",
            "telephone_number": "984-381-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMAN",
        "first_name": "ANGELICA",
        "middle_name": "LATRICE BIANCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Driver",
            "state": "IL",
            "license": "MIGHTY1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHOMBE",
            "last_name": "JACKSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carol G. Hoffenkamp, L.C.S.W.
• Carole Eileen Hoffman, MSW LCSW CSADC
• Elizabeth Hoffman, MSW
• Joshua Hoffstadter
• Holistic Homecare Provider
• Deborah E Holman, CRNA
• Holy Family Medical Center (Holy Family Anesthesia Group)
• Holy Family Medical Center - Des Plaines LLC
• Home Care Angels II, LLC
• Home Care Netwok LLC

• Driver in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Driver in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.