Organization Active NPI

Jackson Healthcare Systems

  • Home Health Agency
  • Lisle, IL
National Provider Identifier
1700892338
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
003054 Issued in TX
Legal business name
JACKSON HEALTHCARE SYSTEMS
Doing business as
Auxi Health
Practice address
4200 Commerce CT Ste 102
Lisle, IL 60532-4557
Phone
(630) 799-0270
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michel A Rusnak
Title
Ceo
Phone
(630) 799-0270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 003054 TX Primary

Addresses

Primary practice location

4200 Commerce CT Ste 102
Lisle, IL 60532-4557

Mailing address

4200 Commerce CT Ste 102
Lisle, IL 60532-4557
Phone (630) 799-0270

Other names 1

  • Auxi Health Doing business as

National Provider Directory

National Provider Directory

Locations

4200 Commerce Ct
Ste 102
Lisle, IL 60532
Phone (630) 799-0270

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700892338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 COMMERCE CT STE 102",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605324557",
            "telephone_number": "630-799-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 COMMERCE CT STE 102",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605324557",
            "telephone_number": "630-799-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON HEALTHCARE SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUSNAK",
        "authorized_official_first_name": "MICHEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-799-0270",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "003054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Auxi Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lisle, IL

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.

Verify at the official NPI Registry.