Organization Active NPI

Holistic Health and Human Services of Illinois, LLC

  • Home Health Agency
  • Melrose Park, IL
National Provider Identifier
1639550700
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOLISTIC HEALTH AND HUMAN SERVICES OF ILLINOIS, LLC
Practice address
1813 Riverwoods Dr
Melrose Park, IL 60160-1608
Phone
(708) 846-2091
NPI assigned
Jun 15, 2015
Last updated
Jun 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Authorized official

Name
Dr. Brenda Frances Graham, EDD
Title
Executive Director
Phone
(708) 846-2091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X IL Primary

Addresses

Primary practice location

1813 Riverwoods Dr
Melrose Park, IL 60160-1608

Mailing address

1813 Riverwoods Dr
Melrose Park, IL 60160-1608
Phone (708) 846-2091

National Provider Directory

National Provider Directory

Locations

125 N Marion St
Ste 202
Oak Park, IL 60301
Phone (708) 613-5733

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1639550700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 RIVERWOODS DR",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601608",
            "telephone_number": "708-846-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 RIVERWOODS DR",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601608",
            "telephone_number": "708-846-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC HEALTH AND HUMAN SERVICES OF ILLINOIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "708-846-2091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.