Organization Active NPI

Care at Home

  • In Home Supportive Care Agency
  • Chicago, IL
National Provider Identifier
1669743100
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
2129082 Issued in IL
Legal business name
CARE AT HOME
Practice address
7115 S Sawyer Ave
Chicago, IL 60629-3535
Phone
(773) 980-3268
Fax
(773) 778-5433
NPI assigned
Jan 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Authorized official

Name
Ms. Agnes Collier, CNA
Title
Ceo
Phone
(773) 209-7316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 2129082 IL Primary

Addresses

Primary practice location

7115 S Sawyer Ave
Chicago, IL 60629-3535

Mailing address

7115 S Sawyer Ave
Chicago, IL 60629-3535
Phone (773) 980-3268

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1669743100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7115 S SAWYER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606293535",
            "telephone_number": "773-980-3268",
            "fax_number": "773-778-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 S SAWYER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606293535",
            "telephone_number": "773-980-3268",
            "fax_number": "773-778-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE AT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "AGNES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-209-7316",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "2129082",
            "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 Jan 13, 2012; 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.