Organization Active NPI

St. Joseph Assyla Home Health Care, Inc.

  • Home Health Agency
  • Woodridge, IL
National Provider Identifier
1487974903
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1011207 Issued in IL
Legal business name
ST. JOSEPH ASSYLA HOME HEALTH CARE, INC.
Practice address
7409 Chestnut CT
Woodridge, IL 60517-2247
Phone
(630) 964-4460
Fax
(630) 964-4463
NPI assigned
Jun 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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

Authorized official

Name
Mr. Christopher M Pendon
Title
Administrator
Phone
(630) 217-4572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1011207 IL Primary

Addresses

Primary practice location

7409 Chestnut CT
Woodridge, IL 60517-2247

Mailing address

7409 Chestnut CT
Woodridge, IL 60517-2247
Phone (630) 964-4460

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1487974903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7409 CHESTNUT CT",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172247",
            "telephone_number": "630-964-4460",
            "fax_number": "630-964-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7409 CHESTNUT CT",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172247",
            "telephone_number": "630-964-4460",
            "fax_number": "630-964-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH ASSYLA HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-07",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "PENDON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "630-217-4572",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.