Phad Home Care Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PHAD HOME CARE INC

Practice address

7077 N Ashland Blvd RM 2
Chicago, IL 60626-2724

Phone

(414) 858-8337

NPI assigned

Sep 16, 2021

Last updated

Sep 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peace Ralston

Title

Owner

Phone

(414) 858-8337

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1659041051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7077 N ASHLAND BLVD RM 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606262724",
            "telephone_number": "414-858-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7077 N ASHLAND BLVD RM 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606262724",
            "telephone_number": "414-858-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHAD HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "PEACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-858-8337"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Jean Pfister, BS
• Raymond Scott Pfledderer, LSW
• Katherine L Pflederer, LPC
• Rachel Pflederer, RN
• Stacy Pfluecke, M.ED., DT
• Phalanx Family Services
• Lizanne B Phalen, MSW, PHD
• Phalguni Patel DDS PC
• Amy Pham, D.O.
• Anthony Pham, MD

• In Home Supportive Care Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• In Home Supportive Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.