Organization Active NPI

Conrad Care Inc

  • Home Health Agency
  • Chicago, IL
National Provider Identifier
1508580911
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CONRAD CARE INC
Practice address
3525 W Peterson Ave Ste 505
Chicago, IL 60659-3317
Phone
(131) 220-4725
NPI assigned
Sep 29, 2022
Organization subpart
Yes
Parent organization
CONRAD CARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Authorized official

Name
Nicholas Efosa Agbonifo
Title
Administrator
Phone
(773) 240-9225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3525 W Peterson Ave Ste 505
Chicago, IL 60659-3317

Mailing address

3525 W Peterson Ave Ste 505
Chicago, IL 60659-3317
Phone (131) 220-4725

National Provider Directory

National Provider Directory
Part of
Conrad Care Incorporated

Locations

3525 W Peterson Ave
Ste 505
Chicago, IL 60659
Phone (312) 204-7255

NPI Registry JSON

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1508580911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 W PETERSON AVE STE 505",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593317",
            "telephone_number": "131-220-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 W PETERSON AVE STE 505",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593317",
            "telephone_number": "131-220-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONRAD CARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONRAD CARE INC",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "AGBONIFO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "EFOSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-240-9225"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.