Innovative Care Home Health Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

INNOVATIVE CARE HOME HEALTH INC.

Practice address

18425 W Creek Dr
Suite B
Tinley Park, IL 60477-6768

Phone

(708) 532-5773

Fax

(708) 532-1899

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Philip De Jong

Title

Administrator

Phone

(708) 532-5773

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267488000000",
    "number": "1609807114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18425 W CREEK DR",
            "address_2": "SUITE B",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604776768",
            "telephone_number": "708-532-5773",
            "fax_number": "708-532-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18425 W CREEK DR",
            "address_2": "SUITE B",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604776768",
            "telephone_number": "708-532-5773",
            "fax_number": "708-532-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE CARE HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-03-02",
        "status": "A",
        "authorized_official_last_name": "DE JONG",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "708-532-5773",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; 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.