NPIMap

Organization Active NPI

At Home Telehealth

  • Primary Care Clinic/Center
  • Oswego, IL
National Provider Identifier
1689440299
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
AT HOME TELEHEALTH
Practice address
611 Ironwood Ave
Oswego, IL 60543-3101
Phone
(630) 596-7113
NPI assigned
Nov 27, 2023
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Jennett AtangaNPI 1053890004
Title
Founder
Phone
(630) 596-7113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

611 Ironwood Ave
Oswego, IL 60543-3101

Mailing address

611 Ironwood Ave
Oswego, IL 60543-3101
Phone (630) 596-7113

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1689440299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 IRONWOOD AVE",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605433101",
            "telephone_number": "630-596-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 IRONWOOD AVE",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605433101",
            "telephone_number": "630-596-7113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME TELEHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "ATANGA",
        "authorized_official_first_name": "JENNETT",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "630-596-7113"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.