Active NPI
Peko Healthcare and Consulting Services, Inc.
- Home Health Agency
- Chicago, IL
National Provider Identifier
1649616129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1011433
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1011433 | Other | IL | ILLINOIS DEPARTMENT OF PUBLIC HEALTH: HOME HEALTH AGENCY |
| 4000342 | Other | IL | ILLINOIS DEPARTMENT OF PUBLIC HEALTH: HOME NURSING AGENCY |
| 3000756 | Other | IL | ILLINOIS DEPARTMENT OF PUBLIC HEALTH: HOME SERVICES AGENCY |
Other names 1
- PEKO Home Health Services
National Provider Directory
National Provider DirectoryLocations
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.