Active NPI
Caring Heavenly Hands
- In Home Supportive Care Agency
- Carol Stream, IL
National Provider Identifier
1578896510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 3000564
- Legal business name
- CARING HEAVENLY HANDS
- Practice address
- 381 S Main PL
Carol Stream, IL 60188-2452 - Phone
- (630) 665-1615
- Fax
- (630) 665-1625
- NPI assigned
- Sep 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Veronica Latrice Shears
- Title
- Director of Training and Operations
- Phone
- (630) 665-1615
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 3000564 | IL | Primary |
Addresses
Primary practice location
381 S Main PL
Carol Stream, IL 60188-2452
Mailing address
381 S Main PL
Carol Stream, IL 60188-2452
Phone (630) 665-1615
Other names 1
- ComForcare Senior Service-Dupage
National Provider Directory
National Provider DirectoryLocations
381 S Main Pl
Carol Stream, IL 60188
Phone (630) 665-1615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252454400000",
"number": "1578896510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "381 S MAIN PL",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601882452",
"telephone_number": "630-665-1615",
"fax_number": "630-665-1625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "381 S MAIN PL",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601882452",
"telephone_number": "630-665-1615",
"fax_number": "630-665-1625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARING HEAVENLY HANDS",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-09",
"last_updated": "2009-09-09",
"status": "A",
"authorized_official_last_name": "SHEARS",
"authorized_official_first_name": "VERONICA",
"authorized_official_middle_name": "LATRICE",
"authorized_official_title_or_position": "DIRECTOR OF TRAINING AND OPERATIONS",
"authorized_official_telephone_number": "630-665-1615",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "IL",
"license": "3000564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ComForcare Senior Service-Dupage",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carol Stream, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.