Organization Active NPI

Careproviders@Home

  • Family Medicine Physician
  • Des Plaines, IL
National Provider Identifier
1538879390
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CAREPROVIDERS@HOME
Practice address
9052 W Oaks Ave
Des Plaines, IL 60016-4250
Phone
(224) 361-3270
NPI assigned
Dec 1, 2022
Last updated
Dec 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Authorized official

Name
Hellivie R Terrell
Title
Owner
Phone
(224) 361-3270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

9052 W Oaks Ave
Des Plaines, IL 60016-4250

Mailing address

7331 N Lincoln Ave Ste 15
Lincolnwood, IL 60712-1766

Other identifiers 1

IdentifierTypeStateIssuer
01403722OtherCPC CERTIFICATE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1538879390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7331 N LINCOLN AVE STE 15",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9052 W OAKS AVE",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164250",
            "telephone_number": "224-361-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREPROVIDERS@HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "TERRELL",
        "authorized_official_first_name": "HELLIVIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-361-3270"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CPC CERTIFICATE",
            "identifier": "01403722",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.