Active NPI
Genesis Home Service Care
- In Home Supportive Care Agency
- Chicago, IL
National Provider Identifier
1730964008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.