Organization Active NPI

Mother Baby Homecare, Inc.

  • Registered Nurse
  • Algonquin, IL
National Provider Identifier
1598808123
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
MOTHER BABY HOMECARE, INC.
Doing business as
Materna Wellborn
Practice address
130 S Main St
Algonquin, IL 60102-2637
Phone
(847) 458-9823
Fax
(847) 658-1099
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Diane Ellen Perrone, RNC
Title
President
Phone
(847) 458-9823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X IL Primary

Addresses

Primary practice location

130 S Main St
Algonquin, IL 60102-2637

Mailing address

306 Rustic LN
Algonquin, IL 60102-3233
Phone (847) 745-8982

Other names 1

  • Materna Wellborn Doing business as

National Provider Directory

National Provider Directory

Locations

130 S Main St
Algonquin, IL 60102
Phone (847) 458-9823

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598808123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 RUSTIC LN",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601023233",
            "telephone_number": "847-745-8982",
            "fax_number": "847-658-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S MAIN ST",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601022637",
            "telephone_number": "847-458-9823",
            "fax_number": "847-658-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHER BABY HOMECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERRONE",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-458-9823",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RNC"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Materna Wellborn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Algonquin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.