Forum Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1010521 Issued in IL

Legal business name

FORUM HEALTH CARE INC

Practice address

900 Skokie Blvd
Suite 230
Northbrook, IL 60062-4012

Phone

(847) 897-9090

Fax

(847) 897-9090

NPI assigned

May 13, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Julia Khomutov, RN

Title

Director of Clinical Services

Phone

(847) 897-9090

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1689625857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SKOKIE BLVD",
            "address_2": "SUITE 230",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624012",
            "telephone_number": "847-897-9090",
            "fax_number": "847-897-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SKOKIE BLVD",
            "address_2": "SUITE 230",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624012",
            "telephone_number": "847-897-9090",
            "fax_number": "847-897-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORUM HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-13",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "KHOMUTOV",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "847-897-9090",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.