Homeland Homehealth Provider, Inc,

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1011931 Issued in IL

Legal business name

HOMELAND HOMEHEALTH PROVIDER, INC,

Practice address

8031 N Milwaukee Ave FL 2
Niles, IL 60714-2827

Phone

(847) 410-2851

Fax

(847) 410-2720

NPI assigned

Sep 24, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Wardia Kando

Title

President

Phone

(847) 493-9328

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1740430826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8031 N MILWAUKEE AVE STE 200",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607142827",
            "telephone_number": "847-983-4364",
            "fax_number": "847-983-4157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8031 N MILWAUKEE AVE FL 2",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607142827",
            "telephone_number": "847-410-2851",
            "fax_number": "847-410-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMELAND HOMEHEALTH PROVIDER, INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "KANDO",
        "authorized_official_first_name": "WARDIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-493-9328",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPARTMENT OF PUBLIC HEALTH",
            "identifier": "1011931",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Niles, IL
• Providers in Niles, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.