Active NPI
Admiral Home Health Inc.
- Home Health Agency
- Waukegan, IL
National Provider Identifier
1689878035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1010623
- Legal business name
- ADMIRAL HOME HEALTH INC.
- Practice address
- 2504 Washington St
Suite 201-5
Waukegan, IL 60085-4983 - Phone
- (847) 410-8750
- Fax
- (847) 655-2709
- NPI assigned
- Jun 11, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Marilyn Azcona, RN
- Title
- Agency Supervisor
- Phone
- (847) 410-8750
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1010623 | IL | Primary |
Addresses
Primary practice location
2504 Washington St
Suite 201-5
Waukegan, IL 60085-4983
Mailing address
2504 Washington St
Suite 201-5
Waukegan, IL 60085-4983
Phone (847) 410-8750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1010623 | Other | IL | STATE LICENCE |
National Provider Directory
National Provider Directory- Tax ID family
- Admiral Home Health Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Chicago, IL
- NPI 1124266077
Locations
2504 Washington St
Ste 201-5
Waukegan, IL 60085
Phone (847) 410-8750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1689878035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2504 WASHINGTON ST",
"address_2": "SUITE 201-5",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "600854983",
"telephone_number": "847-410-8750",
"fax_number": "847-655-2709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2504 WASHINGTON ST",
"address_2": "SUITE 201-5",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "600854983",
"telephone_number": "847-410-8750",
"fax_number": "847-655-2709"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADMIRAL HOME HEALTH INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "AZCONA",
"authorized_official_first_name": "MARILYN",
"authorized_official_title_or_position": "AGENCY SUPERVISOR",
"authorized_official_telephone_number": "847-410-8750",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IL",
"license": "1010623",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENCE",
"identifier": "1010623",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.