Organization Active NPI

Oracle Healthcare Inc

  • Home Health Agency
  • Park Ridge, IL
National Provider Identifier
1487654356
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1011810 Issued in IL
Legal business name
ORACLE HEALTHCARE INC
Practice address
2604 Dempster St Ste 202
Park Ridge, IL 60068-8426
Phone
(224) 470-5130
Fax
(630) 230-4630
NPI assigned
Jul 21, 2005
Last updated
Oct 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Authorized official

Name
Abdul Razzaq Siddiq
Title
Administrator
Phone
(847) 813-5827

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1571762 IL
Home Health Agency 251E00000X 1011810 IL Primary

Addresses

Primary practice location

2604 Dempster St Ste 202
Park Ridge, IL 60068-8426

Mailing address

2604 Dempster St Ste 202
Park Ridge, IL 60068-8426
Phone (224) 470-5130

Other names 1

  • ABC Healthcare, Inc. DBA Anrex Health Care Former legal business name

National Provider Directory

National Provider Directory

Locations

6200 N Hiawatha Ave
Ste 240
Chicago, IL 60646
Phone (773) 283-1000

805 S Main St
Ste 2
Lombard, IL 60148
Phone (630) 495-7177

1515 N Harlem Ave
Ste 307
Oak Park, IL 60302
Phone (708) 660-9900

8340 Lincoln Ave
Ste 113
Skokie, IL 60077
Phone (224) 470-5130

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1487654356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 DEMPSTER ST STE 202",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600688426",
            "telephone_number": "224-470-5130",
            "fax_number": "630-230-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 DEMPSTER ST STE 202",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600688426",
            "telephone_number": "224-470-5130",
            "fax_number": "630-230-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORACLE HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2021-10-13",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "SIDDIQ",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_middle_name": "RAZZAQ",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-813-5827"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1571762",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABC Healthcare, Inc. DBA Anrex Health Care",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "ABC Healthcare, Inc. DBA Anrex Health Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.