Seniorcare Midwest, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SENIORCARE MIDWEST, INC.

Practice address

4747 W Peterson Ave Ste 310
Chicago, IL 60646-5744

Phone

(800) 684-0722

Fax

(773) 261-8279

NPI assigned

May 18, 2022

Last updated

Jun 28, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melquisedeck Aranas

Title

Owner/President

Phone

(773) 569-6698

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1538806880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 W PETERSON AVE STE 310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465744",
            "telephone_number": "800-684-0722",
            "fax_number": "773-261-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 W PETERSON AVE STE 310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465744",
            "telephone_number": "800-684-0722",
            "fax_number": "773-261-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIORCARE MIDWEST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "ARANAS",
        "authorized_official_first_name": "MELQUISEDECK",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "773-569-6698"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.