Organization Active NPI

TSN Home Care LLC

  • In Home Supportive Care Agency
  • Calumet City, IL
National Provider Identifier
1790455756
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
TSN HOME CARE LLC
Practice address
2100 Sibley Blvd Ste 103 Room 2
Calumet City, IL 60409-2153
Phone
(708) 360-3369
NPI assigned
Sep 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Authorized official

Name
Tameka Needham
Title
Owner
Phone
(708) 360-3369

Specialties & licenses 1

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

Addresses

Primary practice location

2100 Sibley Blvd Ste 103 Room 2
Calumet City, IL 60409-2153

Mailing address

2100 Sibley Blvd Ste 103
Calumet City, IL 60409-2153
Phone (708) 360-3369

National Provider Directory

National Provider Directory

Locations

2100 Sibley Blvd
Ste 103
Calumet City, IL 60409
Phone (708) 360-3349

NPI Registry JSON

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1790455756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 SIBLEY BLVD STE 103",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604092153",
            "telephone_number": "708-360-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SIBLEY BLVD STE 103 ROOM 2",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604092153",
            "telephone_number": "708-360-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TSN HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "NEEDHAM",
        "authorized_official_first_name": "TAMEKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-360-3369"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calumet City, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.