NPIMap

Organization Active NPI

1Adem Homecare Illinois Inc.

  • In Home Supportive Care Agency
  • Chicago, IL
National Provider Identifier
1679284129
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
1ADEM HOMECARE ILLINOIS INC.
Practice address
5504 S Michigan Ave Apt 316
Chicago, IL 60637-1794
Phone
(773) 640-9020
NPI assigned
Dec 6, 2022
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Matisha Lake
Title
Owner/Treasurer
Phone
(773) 640-9020

National Provider Directory

National Provider Directory

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

5504 S Michigan Ave Apt 316
Chicago, IL 60637-1794

Mailing address

5504 S Michigan Ave Apt 316
Chicago, IL 60637-1794
Phone (773) 640-9020

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 6, 2022.

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1679284129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5504 S MICHIGAN AVE APT 316",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371794",
            "telephone_number": "773-640-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5504 S MICHIGAN AVE APT 316",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371794",
            "telephone_number": "773-640-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ADEM HOMECARE ILLINOIS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "LAKE",
        "authorized_official_first_name": "MATISHA",
        "authorized_official_title_or_position": "OWNER/TREASURER",
        "authorized_official_telephone_number": "773-640-9020"
    },
    "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 Dec 6, 2022; 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.