Reverend Aide Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

REVEREND AIDE HOME CARE LLC

Practice address

1525 Ogden Ave Ste B
Downers Grove, IL 60515-2785

Phone

(630) 337-6133

NPI assigned

Mar 30, 2018

Organization subpart

No

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

Authorized official

Name

Tejal Patel

Title

Owner

Phone

(630) 337-6133

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1558867598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 OGDEN AVE STE B",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152785",
            "telephone_number": "630-337-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 OGDEN AVE STE B",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152785",
            "telephone_number": "630-337-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVEREND AIDE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-30",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "TEJAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-337-6133"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• In Home Supportive Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.