Organization Active NPI

Grace Health System, Inc

Doing business as Excelcare Home Health

  • Home Health Agency
  • Skokie, IL
National Provider Identifier
1730630443
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2049431 Issued in IL
Legal business name
GRACE HEALTH SYSTEM, INC
Doing business as
Excelcare Home Health
Practice address
7840 Lincoln Ave
Suite 104
Skokie, IL 60077-3658
Phone
(847) 983-0666
Fax
(847) 983-0666
NPI assigned
Oct 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Authorized official

Name
Mark Arrojo
Title
President/Administrator
Phone
(847) 983-0666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2049431 IL Primary

Addresses

Primary practice location

7840 Lincoln Ave
Suite 104
Skokie, IL 60077-3658

Mailing address

7840 Lincoln Ave
Suite 104
Skokie, IL 60077-3658
Phone (847) 983-0666

Other names 1

  • Excelcare Home Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Excelcare Home Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

7840 Lincoln Ave
Ste 104
Skokie, IL 60077
Phone (847) 983-0666

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1730630443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7840 LINCOLN AVE",
            "address_2": "SUITE 104",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773658",
            "telephone_number": "847-983-0666",
            "fax_number": "847-983-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7840 LINCOLN AVE",
            "address_2": "SUITE 104",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773658",
            "telephone_number": "847-983-0666",
            "fax_number": "847-983-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HEALTH SYSTEM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "ARROJO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "847-983-0666"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "2049431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excelcare Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.