Organization Active NPI

Midwest Pearl Home Healthcare Inc

  • Home Health Agency
  • Chicago, IL
National Provider Identifier
1669521654
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
IL1010485 Issued in IL
Legal business name
MIDWEST PEARL HOME HEALTHCARE INC
Practice address
1925 N Harlem Ave
Suite 101
Chicago, IL 60707-3743
Phone
(773) 237-2655
Fax
(773) 237-2717
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Authorized official

Name
Ms. Nelva Duran Reyes
Title
Chief Financial Officer
Phone
(773) 237-2655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X IL1010485 IL Primary

Addresses

Primary practice location

1925 N Harlem Ave
Suite 101
Chicago, IL 60707-3743

Mailing address

1925 N Harlem Ave
Suite 108
Chicago, IL 60707-3743
Phone (773) 237-2655

Other names 1

  • NONE Doing business as

National Provider Directory

National Provider Directory

Locations

1925 N Harlem Ave
Ste 108
Chicago, IL 60707
Phone (708) 383-2191

1925 N Harlem Ave
Ste 101
Chicago, IL 60707
Phone (773) 237-2655

8150 W 111th St
Ste 14
Palos Hills, IL 60465
Phone (708) 974-8015

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1669521654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 N HARLEM AVE",
            "address_2": "SUITE 108",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607073743",
            "telephone_number": "773-237-2655",
            "fax_number": "773-237-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 N HARLEM AVE",
            "address_2": "SUITE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607073743",
            "telephone_number": "773-237-2655",
            "fax_number": "773-237-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST PEARL HOME HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "NELVA",
        "authorized_official_middle_name": "DURAN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "773-237-2655",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "IL1010485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NONE",
            "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 Sep 16, 2008; 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.