NPIMap

Organization Active NPI

Joshua Allied Home Health Corporation

  • Preferred Provider Organization
  • Chicago, IL
National Provider Identifier
1578988937
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
JOSHUA ALLIED HOME HEALTH CORPORATION
Practice address
4250 N Marine Dr Apt 2534
Chicago, IL 60613-1741
Phone
(773) 458-7527
NPI assigned
Feb 21, 2014
Organization subpart
Yes
Parent organization
JOSHUA ALLIED HOME HEALTH CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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

Authorized official

Name
Mr. Gervase Bolden
Title
President/Ceo
Phone
(773) 458-7527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

4250 N Marine Dr Apt 2534
Chicago, IL 60613-1741

Mailing address

4250 N Marine Dr Apt 2534
Chicago, IL 60613-1741
Phone (773) 458-7527

National Provider Directory

National Provider Directory
Tax ID family
Joshua Allied Home Health Corporation NFP2 organizations share this tax ID, including this one
Part of
Joshua Allied Home Health Corporation NFP

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392940800000",
    "number": "1578988937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 N MARINE DR APT 2534",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131741",
            "telephone_number": "773-458-7527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 N MARINE DR APT 2534",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131741",
            "telephone_number": "773-458-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA ALLIED HOME HEALTH CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOSHUA ALLIED HOME HEALTH CORPORATION",
        "enumeration_date": "2014-02-21",
        "last_updated": "2014-02-21",
        "status": "A",
        "authorized_official_last_name": "BOLDEN",
        "authorized_official_first_name": "GERVASE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "773-458-7527",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; 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.