Organization Active NPI

Peko Healthcare and Consulting Services, Inc.

  • Home Health Agency
  • Chicago, IL
National Provider Identifier
1649616129
Registry record updated May 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1011433 Issued in IL
Legal business name
PEKO HEALTHCARE AND CONSULTING SERVICES, INC.
Practice address
526 E 87TH St
Chicago, IL 60619-6045
Phone
(312) 912-7672
Fax
(708) 747-1343
NPI assigned
May 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2013

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

Authorized official

Name
Mr. Seth K Owusu, MPH, MBA
Title
President/Agency Administrator
Phone
(708) 539-9014

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1011433 IL Primary
Home Infusion Agency 251F00000X 4000342 IL
In Home Supportive Care Agency 253Z00000X 3000756 IL

Addresses

Primary practice location

526 E 87TH St
Chicago, IL 60619-6045

Mailing address

4986 Gibson St
Matteson, IL 60443-3023
Phone (773) 912-7672

Other identifiers 3

IdentifierTypeStateIssuer
1011433OtherILILLINOIS DEPARTMENT OF PUBLIC HEALTH: HOME HEALTH AGENCY
4000342OtherILILLINOIS DEPARTMENT OF PUBLIC HEALTH: HOME NURSING AGENCY
3000756OtherILILLINOIS DEPARTMENT OF PUBLIC HEALTH: HOME SERVICES AGENCY

Other names 1

  • PEKO Home Health Services Doing business as

National Provider Directory

National Provider Directory

Locations

526 E 87th St
Chicago, IL 60619
Phone (312) 912-7672

NPI Registry JSON

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368144000000",
    "number": "1649616129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4986 GIBSON ST",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604433023",
            "telephone_number": "773-912-7672",
            "fax_number": "708-747-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 E 87TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606196045",
            "telephone_number": "312-912-7672",
            "fax_number": "708-747-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEKO HEALTHCARE AND CONSULTING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-10",
        "last_updated": "2013-05-10",
        "status": "A",
        "authorized_official_last_name": "OWUSU",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT/AGENCY ADMINISTRATOR",
        "authorized_official_telephone_number": "708-539-9014",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPH, MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011433",
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "IL",
            "license": "4000342",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "3000756",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPARTMENT OF PUBLIC HEALTH: HOME HEALTH AGENCY",
            "identifier": "1011433",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPARTMENT OF PUBLIC HEALTH: HOME NURSING AGENCY",
            "identifier": "4000342",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPARTMENT OF PUBLIC HEALTH: HOME SERVICES AGENCY",
            "identifier": "3000756",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEKO Home Health 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 May 10, 2013; 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.