Organization Active NPI

MRC, LLC

Doing business as 3 Angels Home Health

  • Home Health Agency
  • Morton Grove, IL
National Provider Identifier
1790935229
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010960 Issued in IL
Legal business name
MRC, LLC
Doing business as
3 Angels Home Health
Practice address
6429 Dempster St
Morton Grove, IL 60053-2604
Phone
(847) 581-1400
Fax
(847) 581-1402
NPI assigned
Sep 20, 2008
Organization subpart
Yes
Parent organization
MRC, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Authorized official

Name
Mr. Farhan Siddique
Title
Administrator
Phone
(847) 581-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010960 IL Primary

Addresses

Primary practice location

6429 Dempster St
Morton Grove, IL 60053-2604

Mailing address

6429 Dempster St
Morton Grove, IL 60053-2604
Phone (847) 581-1400

Other names 1

  • 3 Angels Home Health Doing business as

National Provider Directory

National Provider Directory
Part of
MRC LLC

Locations

6429 Dempster St
Morton Grove, IL 60053
Phone (847) 581-1400

8700 Waukegan Rd
Ste 224
Morton Grove, IL 60053
Phone (847) 581-1400

9933 Lawler Ave
Ste 355
Skokie, IL 60077
Phone (888) 207-1283

3510 Hobson Rd
Ste 306
Woodridge, IL 60517
Phone (312) 224-8295

NPI Registry JSON

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

{
    "created_epoch": "1221868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375833600000",
    "number": "1790935229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6429 DEMPSTER ST",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532604",
            "telephone_number": "847-581-1400",
            "fax_number": "847-581-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6429 DEMPSTER ST",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532604",
            "telephone_number": "847-581-1400",
            "fax_number": "847-581-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MRC, LLC",
        "enumeration_date": "2008-09-20",
        "last_updated": "2013-08-07",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUE",
        "authorized_official_first_name": "FARHAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-581-1400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "3 Angels Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morton Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.