Active NPI
Ficc Home Health Care, Inc.
- Health Service Clinic/Center
- Chicago, IL
National Provider Identifier
1609152867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 1011364
- Legal business name
- FICC HOME HEALTH CARE, INC.
- Practice address
- 5648 W. Lawrence Ave.
Chicago, IL 60630-3220 - Phone
- (773) 283-2835
- Fax
- (773) 283-2955
- NPI assigned
- Nov 1, 2011
- Last updated
- May 11, 2012
- 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. Bryan Pottow
- Title
- President
- Phone
- (773) 283-2835
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 1011364 | IL | Primary |
Addresses
Primary practice location
5648 W. Lawrence Ave.
Chicago, IL 60630-3220
Mailing address
5648 W. Lawrence Ave.
Chicago, IL 60630-3220
Phone (773) 283-2835
National Provider Directory
National Provider DirectoryLocations
5648 W Lawrence Ave
Chicago, IL 60630
Phone (773) 283-2835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1336694400000",
"number": "1609152867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5648 W. LAWRENCE AVE.",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606303220",
"telephone_number": "773-283-2835",
"fax_number": "773-283-2955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5648 W. LAWRENCE AVE.",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606303220",
"telephone_number": "773-283-2835",
"fax_number": "773-283-2955"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FICC HOME HEALTH CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-01",
"last_updated": "2012-05-11",
"status": "A",
"authorized_official_last_name": "POTTOW",
"authorized_official_first_name": "BRYAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-283-2835",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "IL",
"license": "1011364",
"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 May 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.