Organization Active NPI

Care Members at Home LLC

  • In Home Supportive Care Agency
  • Matteson, IL
National Provider Identifier
1801601638
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Feb 10, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.