Organization Active NPI

Home Medical Associates, LLC

  • Clinic/Center
  • Oak Park, IL
National Provider Identifier
1790885424
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HOME MEDICAL ASSOCIATES, LLC
Practice address
221 Lake St
Oak Park, IL 60302-2646
Phone
(708) 763-9721
NPI assigned
Sep 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Pamela Fernandes
Title
President
Phone
(708) 752-5680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

221 Lake St
Oak Park, IL 60302-2646

Mailing address

221 Lake St
Oak Park, IL 60302-2646
Phone (708) 763-9721

National Provider Directory

National Provider Directory

Locations

219 Lake St
Oak Park, IL 60302
Phone (708) 763-9720

221 Lake St
Oak Park, IL 60302
Phone (708) 763-9720

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790885424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 LAKE ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022646",
            "telephone_number": "708-763-9721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 LAKE ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022646",
            "telephone_number": "708-763-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FERNANDES",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-752-5680"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.