Organization Active NPI

Ficc Home Health Care, Inc.

  • Health Service Clinic/Center
  • Chicago, IL
National Provider Identifier
1609152867
Registry record updated May 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
1011364 Issued in IL
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2012

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.