Nucare Inc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

09C006 Issued in IL

Legal business name

NUCARE INC

Practice address

18118 Orleans Dr
Hazel Crest, IL 60429-2242

Phone

(708) 647-0311

Fax

(708) 647-0308

NPI assigned

Jun 8, 2016

Last updated

Jun 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sabrina Moore

Title

Ex. Dir.

Phone

(708) 922-2111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1760831945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3649 W 183RD ST",
            "address_2": "STE135",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292400",
            "telephone_number": "708-922-2111",
            "fax_number": "708-922-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18118 ORLEANS DR",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292242",
            "telephone_number": "708-647-0311",
            "fax_number": "708-647-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "EX. DIR.",
        "authorized_official_telephone_number": "708-922-2111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IL",
            "license": "09C006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica M Nicholson, D.O.
• Paul Ninnemann
• Paul Edward Nolan, MD
• Natalie Ann Noonan
• Nakeshia Norman, PMHNP
• Kindy Nwankama
• Jessica Susan O'Brien, OT
• Naila A O'Connell
• Esther Abiola Oba
• Adaku Juliet Obodoakor, NP

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Hazel Crest, IL
• Providers in Hazel Crest, IL by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.