Christopher Rudynski

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

3001214 Issued in IL

Practice address

1345 110TH St
Pleasant Prairie, WI 53158-4527

Phone

(224) 343-5093

NPI assigned

Aug 25, 2016

Last updated

Aug 25, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lifecarepros, LLC

  dba Synergy HomeCare

  • In Home Supportive Care Agency
  • Gurnee, IL
  • NPI 1174079867
  NPD (past) Authorized official

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1568917086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 110TH ST",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "531584527",
            "telephone_number": "224-343-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 110TH ST",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "531584527",
            "telephone_number": "224-343-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDYNSKI",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-25",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "3001214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheri Silva Rocco, MD
• Andie Alexandra Rockendorf
• Andrea Rogala
• Gregory D Rosen, M.D.
• Anthony Salvatore Rotunno, PHARMD
• Mitchell S. Ruiz, PTA
• Safe Care Transportation LLC
• Azimabbas Saiyed, DO
• Mercedes Jean Saltou
• Mary K Santarelli, OT

• In Home Supportive Care Agency in Pleasant Prairie, WI
• Providers in Pleasant Prairie, WI by specialty
• In Home Supportive Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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.