Hometown Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

8175 Issued in IL

Legal business name

HOMETOWN FIRE PROTECTION DISTRICT

Practice address

4301 Southwest Hwy
Hometown, IL 60456-1110

Phone

(708) 422-2182

Fax

(708) 499-3894

NPI assigned

Jul 29, 2006

Last updated

Apr 20, 2008By 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

Michael Kocaba

Title

Fire Chief

Phone

(708) 422-2182

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1780698050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600900457",
            "telephone_number": "847-577-8811",
            "fax_number": "847-577-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 SOUTHWEST HWY",
            "city": "HOMETOWN",
            "state": "IL",
            "postal_code": "604561110",
            "telephone_number": "708-422-2182",
            "fax_number": "708-499-3894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "KOCABA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "708-422-2182"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "8175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1620348",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alon Bloom, M.D.
• Angela Chambers-Jones
• Chicago Medivan LLC
• Moriah Elusta
• Hometown Dental Care PC
• Muhammad Moshfeq Hossain, D.O.
• Misha Jane Ivetich, DDS
• Ashok Jhanji, DDS,MS
• Themi Jouras, PT
• Jolyne Noel Kaar, MD

• Land Ambulance in Hometown, IL
• Providers in Hometown, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.