Active NPI
Sharese Wilson-Bouie
- Homemaker
- Hanover Park, IL
National Provider Identifier
1588437263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Practice address
- 1490 Merrimac LN N
Hanover Park, IL 60133-6212 - Phone
- (630) 641-3950
- NPI assigned
- Nov 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | IL | Primary |
Addresses
Primary practice location
1490 Merrimac LN N
Hanover Park, IL 60133-6212
Mailing address
1490 Merrimac LN N
Hanover Park, IL 60133-6212
Phone (630) 641-3950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Like Our Own Home Care LLC | Homemaker | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1588437263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1490 MERRIMAC LN N",
"city": "HANOVER PARK",
"state": "IL",
"postal_code": "601336212",
"telephone_number": "630-641-3950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1490 MERRIMAC LN N",
"city": "HANOVER PARK",
"state": "IL",
"postal_code": "601336212",
"telephone_number": "630-641-3950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON-BOUIE",
"first_name": "SHARESE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-03",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hanover Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.