Active NPI
Care Members at Home LLC
- In Home Supportive Care Agency
- Matteson, IL
National Provider Identifier
1801601638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- CARE MEMBERS AT HOME LLC
- Practice address
- 4749 Lincoln Mall Dr Ste 202a
Matteson, IL 60443-2348 - Phone
- (708) 856-0605
- NPI assigned
- Feb 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nikka Culpepper
- Title
- Authorized Official
- Phone
- (708) 856-0605
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
4749 Lincoln Mall Dr Ste 202a
Matteson, IL 60443-2348
Mailing address
4749 Lincoln Mall Dr Ste 202a
Matteson, IL 60443-2348
National Provider Directory
National Provider DirectoryLocations
4749 Lincoln Mall Dr
Ste 202A
Matteson, IL 60443
Phone (708) 856-0605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739145600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739145600000",
"number": "1801601638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4749 LINCOLN MALL DR STE 202A",
"city": "MATTESON",
"state": "IL",
"postal_code": "604432348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4749 LINCOLN MALL DR STE 202A",
"city": "MATTESON",
"state": "IL",
"postal_code": "604432348",
"telephone_number": "708-856-0605"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARE MEMBERS AT HOME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-10",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A",
"authorized_official_last_name": "CULPEPPER",
"authorized_official_first_name": "NIKKA",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "708-856-0605"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Matteson, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.