NPIMap

Organization Active NPI

Polish American Association

  • In Home Supportive Care Agency
  • Chicago, IL
National Provider Identifier
1730505967
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
1346682614 Issued in IL
Legal business name
POLISH AMERICAN ASSOCIATION
Practice address
3834 N Cicero Ave
Attn: Accounting Department
Chicago, IL 60641-3622
Phone
(773) 282-8206
Fax
(773) 282-1324
NPI assigned
Mar 12, 2014
Last updated
Mar 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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

Authorized official

Name
Mr. Gary Kenzer
Title
Executive Director
Phone
(773) 427-6317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 1346682614 IL Primary

Addresses

Primary practice location

3834 N Cicero Ave
Attn: Accounting Department
Chicago, IL 60641-3622

Mailing address

3834 N Cicero Ave
Attn: Accounting Department
Chicago, IL 60641-3622
Phone (773) 282-8206

National Provider Directory

National Provider Directory
Tax ID family
Polish American Association3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1730505967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3834 N CICERO AVE",
            "address_2": "ATTN: ACCOUNTING DEPARTMENT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413622",
            "telephone_number": "773-282-8206",
            "fax_number": "773-282-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3834 N CICERO AVE",
            "address_2": "ATTN: ACCOUNTING DEPARTMENT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413622",
            "telephone_number": "773-282-8206",
            "fax_number": "773-282-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLISH AMERICAN ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "KENZER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "773-427-6317",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "1346682614",
            "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 Mar 12, 2014; 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.