Organization Active NPI

Cedarland Homecare LLC

  • In Home Supportive Care Agency
  • Lansing, IL
National Provider Identifier
1679381289
Registry record updated Dec 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CEDARLAND HOMECARE LLC
Practice address
3664 193Rd CT
Lansing, IL 60438-4212
Phone
(708) 501-2599
NPI assigned
Dec 28, 2024
Last updated
Dec 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2024

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

Authorized official

Name
Adesuwa Aghughu
Title
Administrator
Phone
(773) 817-8032

Specialties & licenses 1

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

Addresses

Primary practice location

3664 193Rd CT
Lansing, IL 60438-4212

Mailing address

3664 193Rd CT
Lansing, IL 60438-4212
Phone (708) 501-2599

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1735344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735344000000",
    "number": "1679381289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3664 193RD CT",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604384212",
            "telephone_number": "708-501-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3664 193RD CT",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604384212",
            "telephone_number": "708-501-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDARLAND HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-28",
        "last_updated": "2024-12-28",
        "certification_date": "2024-12-28",
        "status": "A",
        "authorized_official_last_name": "AGHUGHU",
        "authorized_official_first_name": "ADESUWA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-817-8032"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2024; 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.