Active NPI
St. Joseph Assyla Home Health Care, Inc.
- Home Health Agency
- Woodridge, IL
National Provider Identifier
1487974903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1011207
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.