Active NPI
Monarch Home Care, Inc.
- Home Health Agency
- Blue Island, IL
National Provider Identifier
1598069361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1011136
- Legal business name
- MONARCH HOME CARE, INC.
- Practice address
- 12757 Western Ave
Suite 113
Blue Island, IL 60406-2155 - Phone
- (708) 629-0601
- Fax
- (708) 629-0602
- NPI assigned
- Jan 7, 2011
- 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
- Mr. Faith N Osemwengie, RN
- Title
- Administrator
- Phone
- (773) 531-2524
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1011136 | IL | Primary |
Addresses
Primary practice location
12757 Western Ave
Suite 113
Blue Island, IL 60406-2155
Mailing address
12757 Western Ave
Suite 113
Blue Island, IL 60406-2155
Phone (708) 629-0601
National Provider Directory
National Provider DirectoryLocations
12757 Western Ave
Ste 113
Blue Island, IL 60406
Phone (708) 629-0601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294358400000",
"number": "1598069361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12757 WESTERN AVE",
"address_2": "SUITE 113",
"city": "BLUE ISLAND",
"state": "IL",
"postal_code": "604062155",
"telephone_number": "708-629-0601",
"fax_number": "708-629-0602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12757 WESTERN AVE",
"address_2": "SUITE 113",
"city": "BLUE ISLAND",
"state": "IL",
"postal_code": "604062155",
"telephone_number": "708-629-0601",
"fax_number": "708-629-0602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONARCH HOME CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-07",
"last_updated": "2011-01-07",
"status": "A",
"authorized_official_last_name": "OSEMWENGIE",
"authorized_official_first_name": "FAITH",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "773-531-2524",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IL",
"license": "1011136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blue Island, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.