Prohealth Homecare Agency Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1011353 Issued in IL

Legal business name

PROHEALTH HOMECARE AGENCY INC

Practice address

15132 S Summit Avenue
Suite 300
Oakbrook Terrace, IL 60181-3942

Phone

(630) 424-9498

Fax

(630) 424-3488

NPI assigned

Apr 28, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Jorge Ernesto Guerrero Sr., RN

Title

Administrator/President

Phone

(630) 424-9493

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536278400000",
    "number": "1528385648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15132 S SUMMIT AVENUE",
            "address_2": "SUITE 300",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813942",
            "telephone_number": "630-424-9498",
            "fax_number": "630-424-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15132 S SUMMIT AVENUE",
            "address_2": "SUITE 300",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813942",
            "telephone_number": "630-424-9498",
            "fax_number": "630-424-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH HOMECARE AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2018-09-07",
        "status": "A",
        "authorized_official_last_name": "GUERRERO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "ERNESTO",
        "authorized_official_title_or_position": "ADMINISTRATOR/PRESIDENT",
        "authorized_official_telephone_number": "630-424-9493",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Oakbrook Terrace, IL
• Providers in Oakbrook Terrace, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; 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.