State Home Health Agency, LTD.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

STATE HOME HEALTH AGENCY, LTD.

Practice address

17W727 Butterfield Rd
Suite F & G
Oakbrook Terrace, IL 60181-4278

Phone

(630) 320-1400

Fax

(630) 320-1401

NPI assigned

Nov 26, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Tasneem Jamal

Title

President

Phone

(630) 320-1400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1629259197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17W727 BUTTERFIELD RD",
            "address_2": "SUITE F & G",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814278",
            "telephone_number": "630-320-1400",
            "fax_number": "630-320-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17W727 BUTTERFIELD RD",
            "address_2": "SUITE F & G",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814278",
            "telephone_number": "630-320-1400",
            "fax_number": "630-320-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE HOME HEALTH AGENCY, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "JAMAL",
        "authorized_official_first_name": "TASNEEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-320-1400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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