Organization Active NPI

Octicare, Inc.

  • In Home Supportive Care Agency
  • Mount Prospect, IL
National Provider Identifier
1790307411
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
OCTICARE, INC.
Practice address
200 E Evergreen Ave Ste 127
Mount Prospect, IL 60056-3294
Phone
(224) 414-2088
Fax
(224) 253-4888
NPI assigned
May 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Authorized official

Name
Angela Wilson
Title
Ceo
Phone
(847) 454-7777

Specialties & licenses 1

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

Addresses

Primary practice location

200 E Evergreen Ave Ste 127
Mount Prospect, IL 60056-3294

Mailing address

770 Rockwell LN
Des Plaines, IL 60016-6218
Phone (847) 454-7777

National Provider Directory

National Provider Directory

Locations

200 E Evergreen Ave
Ste 127
Mount Prospect, IL 60056
Phone (224) 414-2088

NPI Registry JSON

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1790307411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 ROCKWELL LN",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600166218",
            "telephone_number": "847-454-7777",
            "fax_number": "224-253-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E EVERGREEN AVE STE 127",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563294",
            "telephone_number": "224-414-2088",
            "fax_number": "224-253-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCTICARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-15",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-454-7777"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.