NPIMap

Organization Active NPI

Regimary Peacock Home Services

Doing business as RPH Services

  • In Home Supportive Care Agency
  • Chicago, IL
National Provider Identifier
1639884638
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
REGIMARY PEACOCK HOME SERVICES
Doing business as
RPH Services
Practice address
2844 W Sherwin Ave Uppr Room
Chicago, IL 60645-1238
Phone
(773) 931-3026
NPI assigned
Jan 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Authorized official

Name
Dr. Neba Ambe, PHDNPI 1346605748
Title
GRC Analyst
Phone
(773) 931-3026

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP1600X
In Home Supportive Care Agency 253Z00000X Primary
HomemakerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 376J00000X

Addresses

Primary practice location

2844 W Sherwin Ave Uppr Room
Chicago, IL 60645-1238

Mailing address

2844 W Sherwin Ave Uppr Room
Chicago, IL 60645-1238
Phone (773) 931-3026

Other names 1

  • RPH Services Doing business as

National Provider Directory

National Provider Directory

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": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1639884638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2844 W SHERWIN AVE UPPR ROOM",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606451238",
            "telephone_number": "773-931-3026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2844 W SHERWIN AVE UPPR ROOM",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606451238",
            "telephone_number": "773-931-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIMARY PEACOCK HOME SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "AMBE",
        "authorized_official_first_name": "NEBA",
        "authorized_official_title_or_position": "GRC ANALYST",
        "authorized_official_telephone_number": "773-931-3026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RPH Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RPH Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 30, 2024; 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.