Organization Active NPI

Private Home Care Unlimited, Inc.

  • Home Health Agency
  • Chicago, IL
National Provider Identifier
1649246224
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1004589 Issued in IL
Legal business name
PRIVATE HOME CARE UNLIMITED, INC.
Practice address
5517 N Cumberland Ave
Suite 915
Chicago, IL 60656-4738
Phone
(773) 467-6000
Fax
(773) 467-6001
NPI assigned
Feb 24, 2006
Last updated
Jan 27, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
KABAFUSION HOLDING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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

Authorized official

Name
Dr. Sohail Masood, PHARM.D
Title
President & Ceo
Phone
(800) 435-3020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1004589 IL Primary

Addresses

Primary practice location

5517 N Cumberland Ave
Suite 915
Chicago, IL 60656-4738

Mailing address

5517 N Cumberland Ave
Suite 915
Chicago, IL 60656-4738
Phone (773) 467-6000

Other identifiers 1

IdentifierTypeStateIssuer
9639OtherILBCBSIL PROVIDER #

National Provider Directory

National Provider Directory

Locations

5517 N Cumberland Ave
Chicago, IL 60656
Phone (773) 467-6000

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485475200000",
    "number": "1649246224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5517 N CUMBERLAND AVE",
            "address_2": "SUITE 915",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606564738",
            "telephone_number": "773-467-6000",
            "fax_number": "773-467-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5517 N CUMBERLAND AVE",
            "address_2": "SUITE 915",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606564738",
            "telephone_number": "773-467-6000",
            "fax_number": "773-467-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE HOME CARE UNLIMITED, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KABAFUSION HOLDING LLC",
        "enumeration_date": "2006-02-24",
        "last_updated": "2017-01-27",
        "status": "A",
        "authorized_official_last_name": "MASOOD",
        "authorized_official_first_name": "SOHAIL",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "800-435-3020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1004589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL PROVIDER #",
            "identifier": "9639",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 27, 2017; 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.