NPIMap

Organization Active NPI

Dyna Care Home Health, Inc.

  • Home Health Agency
  • Algonquin, IL
National Provider Identifier
1508920182
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1007277 Issued in IL
Legal business name
DYNA CARE HOME HEALTH, INC.
Practice address
1211 S Main St
Algonquin, IL 60102-2741
Phone
(847) 658-2220
Fax
(847) 658-2221
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Abi Turab Boxwalla
Title
Chief Operating Officer
Phone
(708) 560-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1007277 IL Primary

Addresses

Primary practice location

1211 S Main St
Algonquin, IL 60102-2741

Mailing address

18454 W West Creek Dr
Tinley Park, IL 60477-6273
Phone (708) 560-7200

Other identifiers 2

IdentifierTypeStateIssuer
3633295761001MedicaidIL
9762OtherILBLUECROSS BLUESHIELD

National Provider Directory

National Provider Directory
Tax ID family
Amedisys Illinois LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1211 S Main St
Algonquin, IL 60102
Phone (847) 658-2220

18454 West Creek Dr
Tinley Park, IL 60477

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508920182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18454 W WEST CREEK DR",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604776273",
            "telephone_number": "708-560-7200",
            "fax_number": "708-560-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 S MAIN ST",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601022741",
            "telephone_number": "847-658-2220",
            "fax_number": "847-658-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNA CARE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOXWALLA",
        "authorized_official_first_name": "ABI",
        "authorized_official_middle_name": "TURAB",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "708-560-7200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1007277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3633295761001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "9762",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.