Home Bound Healthcare, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1011897 Issued in IL

Legal business name

HOME BOUND HEALTHCARE, INC.

Practice address

14216 McCarthy Rd Unit a
Lemont, IL 60439-9393

Phone

(708) 798-0800

Fax

(708) 798-0870

NPI assigned

Jan 30, 2006

Last updated

Feb 1, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Julieta Mitra Jr.

Title

President/Secretary/Treasurer

Phone

(708) 798-0800

Specialties & licenses 3

Addresses

Other identifiers 2

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485907200000",
    "number": "1710958533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14216 MCCARTHY RD UNIT A",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604399393",
            "telephone_number": "708-798-0800",
            "fax_number": "708-798-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14216 MCCARTHY RD UNIT A",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604399393",
            "telephone_number": "708-798-0800",
            "fax_number": "708-798-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME BOUND HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2017-02-01",
        "status": "A",
        "authorized_official_last_name": "MITRA",
        "authorized_official_first_name": "JULIETA",
        "authorized_official_title_or_position": "PRESIDENT/SECRETARY/TREASURER",
        "authorized_official_telephone_number": "708-798-0800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010413",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011897",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": "14D1036623",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH AGENCY LIC",
            "identifier": "1010413",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA CERT OF WAIVER",
            "identifier": "14D1036623",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kianna Marie Henehan
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• Anna Holcombe
• Home Bound Healthcare Hospice, LLC
• Home Bound Healthcare Outpatient Therapy Services LLC
• Danielle Hooker, CCC-SLP
• Patricia M Hooper, BCBA, LCPC
• Hope to Heal Counseling, LLC (Maria D Rodriguez, LCSW)
• Kathryn Mary Huettl, DPT
• Susan Marie Huron

• Home Health Agency in Lemont, IL
• Providers in Lemont, 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 Feb 1, 2017; 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.