Organization Active NPI

Hilltop Homecare Corp

  • Home Health Aide
  • Chicago, IL
National Provider Identifier
1609450808
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
HILLTOP HOMECARE CORP
Practice address
6307 S Stewart Ave Ste 306
Chicago, IL 60621-3116
Phone
(773) 425-8665
NPI assigned
May 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Authorized official

Name
Dr. Tade Akere, PSYD
Title
Director of Administration
Phone
(773) 425-8665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

6307 S Stewart Ave Ste 306
Chicago, IL 60621-3116

Mailing address

1516 Fowler Ave
Evanston, IL 60201-3955
Phone (773) 425-8665

Other identifiers 1

IdentifierTypeStateIssuer
4000691MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL raphaelmedicalservices.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Hilltop Homecare Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6307 S Stewart Ave
Ste 306
Chicago, IL 60621
Phone (773) 425-8665

NPI Registry JSON

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1609450808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 FOWLER AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013955",
            "telephone_number": "773-425-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6307 S STEWART AVE STE 306",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606213116",
            "telephone_number": "773-425-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLTOP HOMECARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "AKERE",
        "authorized_official_first_name": "TADE",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION",
        "authorized_official_telephone_number": "773-425-8665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4000691",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "raphaelmedicalservices.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6307 S Stewart Ave Ste 306",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606213116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 8, 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.

Verify at the official NPI Registry.