Organization Active NPI

Care Bridge Health Services, Inc.

  • Home Health Agency
  • Westchester, IL
National Provider Identifier
1730527896
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CARE BRIDGE HEALTH SERVICES, INC.
Practice address
9865 West Roosevelt Rd. Suite # 204
Westchester, IL 60154
Phone
(708) 582-7595
Fax
(708) 343-3632
NPI assigned
Jun 11, 2013
Last updated
Jun 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Authorized official

Name
Evelyn B. Carreon
Title
President/Director of Nursing
Phone
(630) 674-0464

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Home Health Aide 374U00000X
Registered Nurse 163W00000X
Home Health Registered Nurse 163WH0200X

Addresses

Primary practice location

9865 West Roosevelt Rd. Suite # 204
Westchester, IL 60154

Mailing address

9865 West Roosevelt Rd. Suite # 204
Westchester, IL 60154

National Provider Directory

National Provider Directory

Locations

9865 W Roosevelt Rd
Ste 204
Westchester, IL 60154
Phone (708) 582-7595

NPI Registry JSON

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1730527896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9865 WEST ROOSEVELT RD. SUITE # 204",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "60154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9865 WEST ROOSEVELT RD. SUITE # 204",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "60154",
            "telephone_number": "708-582-7595",
            "fax_number": "708-343-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE BRIDGE HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-11",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "CARREON",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "630-674-0464"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westchester, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.

Verify at the official NPI Registry.