Organization Active NPI

Genesis Home Service Care

  • In Home Supportive Care Agency
  • Chicago, IL
National Provider Identifier
1730964008
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GENESIS HOME SERVICE CARE
Practice address
11153 S Hoyne Ave
Chicago, IL 60643-4003
Phone
(773) 747-7025
Fax
(773) 747-7003
NPI assigned
Aug 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Authorized official

Name
Mrs. Teresa F Ziegler
Title
Agency Manager
Phone
(773) 842-0360

Specialties & licenses 1

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

Addresses

Primary practice location

11153 S Hoyne Ave
Chicago, IL 60643-4003

Mailing address

11153 S Hoyne Ave
Chicago, IL 60643-4003
Phone (773) 747-7025

National Provider Directory

National Provider Directory

Locations

11153 S Hoyne Ave
Chicago, IL 60643
Phone (773) 747-7025

NPI Registry JSON

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1730964008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11153 S HOYNE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606434003",
            "telephone_number": "773-747-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11153 S HOYNE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606434003",
            "telephone_number": "773-747-7025",
            "fax_number": "773-747-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HOME SERVICE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-25",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "ZIEGLER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "AGENCY MANAGER",
        "authorized_official_telephone_number": "773-842-0360",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "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 Jan 15, 2024; 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.