Organization Active NPI

Ssanjjemma Care Provider Inc.

  • Home Health Agency
  • Northbrook, IL
National Provider Identifier
1639594559
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SSANJJEMMA CARE PROVIDER INC.
Practice address
3622 Salem Walk Apt A2
Northbrook, IL 60062-7331
Phone
(773) 495-9668
NPI assigned
Feb 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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

Authorized official

Name
Ms. Susan J. Toque
Title
Owner/Manager
Phone
(773) 495-9668

Specialties & licenses 1

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

Addresses

Primary practice location

3622 Salem Walk Apt A2
Northbrook, IL 60062-7331

Mailing address

3622 Salem Walk Apt A2
Northbrook, IL 60062-7331
Phone (773) 495-9668

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393545600000",
    "number": "1639594559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3622 SALEM WALK APT A2",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600627331",
            "telephone_number": "773-495-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 SALEM WALK APT A2",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600627331",
            "telephone_number": "773-495-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSANJJEMMA CARE PROVIDER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-28",
        "last_updated": "2014-02-28",
        "status": "A",
        "authorized_official_last_name": "TOQUE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "773-495-9668",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; 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.