Active NPI
Nursing-at-Large, Inc.
- Home Health Agency
- Chicago, IL
National Provider Identifier
1720409642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1011583
- Legal business name
- NURSING-AT-LARGE, INC.
- Practice address
- 12142 S State St
Chicago, IL 60628-6629 - Phone
- (773) 510-7854
- Fax
- (773) 941-6074
- NPI assigned
- Dec 18, 2013
- 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. Nafeesah Jor'Dan, R.N.
- Title
- Director of Nursing
- Phone
- (773) 510-7854
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1011583 | IL | Primary |
Addresses
Primary practice location
12142 S State St
Chicago, IL 60628-6629
Mailing address
12142 S State St
Chicago, IL 60628-6629
Phone (773) 510-7854
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1387324800000",
"number": "1720409642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12142 S STATE ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606286629",
"telephone_number": "773-510-7854",
"fax_number": "773-941-6074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12142 S STATE ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606286629",
"telephone_number": "773-510-7854",
"fax_number": "773-941-6074"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NURSING-AT-LARGE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-18",
"last_updated": "2013-12-18",
"status": "A",
"authorized_official_last_name": "JOR'DAN",
"authorized_official_first_name": "NAFEESAH",
"authorized_official_title_or_position": "DIRECTOR OF NURSING",
"authorized_official_telephone_number": "773-510-7854",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "R.N."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IL",
"license": "1011583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.