Restoration Home Care Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

3001336 Issued in IL

Legal business name

RESTORATION HOME CARE INC.

Practice address

552 E 44TH St
Chicago, IL 60653-3466

Phone

(312) 735-5811

NPI assigned

Feb 14, 2017

Organization subpart

No

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

Authorized official

Name

Matthew Awakan

Title

Owner

Phone

(312) 735-5811

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514246400000",
    "number": "1679012314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 E 44TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606533466",
            "telephone_number": "312-735-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 E 44TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606533466",
            "telephone_number": "312-735-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-12-26",
        "status": "A",
        "authorized_official_last_name": "AWAKAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-735-5811"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "3001336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "3001336",
            "identifier": "3001336",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Restoration Center Chicago
• Restoration Home Health Services LLC
• Restoration World Outreach 1 Inc.
• Restorative Collective LLC
• Restorative Counseling, P.C.
• Restorative Nutrition and Wellness LLC

• 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 Dec 26, 2017; 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.