NPIMap

Organization Active NPI

Care Centers Health Systems Limited

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Des Plaines, IL
National Provider Identifier
1801802012
Registry record updated Sep 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
License
203.00378 Issued in IL
Legal business name
CARE CENTERS HEALTH SYSTEMS LIMITED
Practice address
200 Howard Ave
Suite 250
Des Plaines, IL 60018-5906
Phone
(224) 612-5662
Fax
(224) 612-5862
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2009

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

Authorized official

Name
Mr. Yishai Broner
Title
Manager
Phone
(224) 612-5680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 203.00378 IL Primary

Addresses

Primary practice location

200 Howard Ave
Suite 250
Des Plaines, IL 60018-5906

Mailing address

200 Howard Ave
Ste 250
Des Plaines, IL 60018-5909
Phone (224) 612-5662

Other identifiers 5

IdentifierTypeStateIssuer
0241503OtherKYANTHEM BCBS
363874609001MedicaidIL
01625203OtherILBCBS
200199080AMedicaidIN
2211681MedicaidOH

National Provider Directory

National Provider Directory

Locations

200 Howard Ave
Ste 250
Des Plaines, IL 60018
Phone (224) 612-5662

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253836800000",
    "number": "1801802012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOWARD AVE",
            "address_2": "STE 250",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600185909",
            "telephone_number": "224-612-5662",
            "fax_number": "224-612-5862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOWARD AVE",
            "address_2": "SUITE 250",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600185906",
            "telephone_number": "224-612-5662",
            "fax_number": "224-612-5862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE CENTERS HEALTH SYSTEMS LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2009-09-25",
        "status": "A",
        "authorized_official_last_name": "BRONER",
        "authorized_official_first_name": "YISHAI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "224-612-5680",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "IL",
            "license": "203.00378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "0241503",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363874609001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01625203",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200199080A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2211681",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; 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.