NPIMap

Organization Active NPI

Homegrown Health Care, Inc.

  • Home Health Registered Nurse
  • Lynwood, IL
National Provider Identifier
1578240065
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
HOMEGROWN HEALTH CARE, INC.
Practice address
2511 Cedar Glen Dr N
Lynwood, IL 60411-1512
Phone
(708) 304-3168
NPI assigned
Jun 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Authorized official

Name
Loreal RatliffNPI 1619686334
Title
Ceo
Phone
(708) 304-3168

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH0200X Primary

Addresses

Primary practice location

2511 Cedar Glen Dr N
Lynwood, IL 60411-1512

Mailing address

2511 Cedar Glen Dr N
Lynwood, IL 60411-1512
Phone (708) 304-3168

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1578240065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 CEDAR GLEN DR N",
            "city": "LYNWOOD",
            "state": "IL",
            "postal_code": "604111512",
            "telephone_number": "708-304-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 CEDAR GLEN DR N",
            "city": "LYNWOOD",
            "state": "IL",
            "postal_code": "604111512",
            "telephone_number": "708-304-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEGROWN HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "RATLIFF",
        "authorized_official_first_name": "LOREAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-304-3168"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.