Organization Active NPI

Moments at Home Respite Care and Home Services, LLC.

  • In Home Supportive Care Agency
  • Chicago, IL
National Provider Identifier
1649823873
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MOMENTS AT HOME RESPITE CARE AND HOME SERVICES, LLC.
Practice address
7207 S Indiana Ave
Chicago, IL 60619-1008
Phone
(773) 320-8440
NPI assigned
Jul 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Authorized official

Name
Ms. Rose Loftin-Johnson, RN
Title
Director of Clinical Operations
Phone
(847) 497-0654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

7207 S Indiana Ave
Chicago, IL 60619-1008

Mailing address

7207 S Indiana Ave
Chicago, IL 60619-1008
Phone (773) 320-8440

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1649823873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7207 S INDIANA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606191008",
            "telephone_number": "773-320-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7207 S INDIANA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606191008",
            "telephone_number": "773-320-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTS AT HOME RESPITE CARE AND HOME SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "LOFTIN-JOHNSON",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "847-497-0654",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 17, 2019; 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.