Active NPI
Presence Home Care
- Home Health Agency
- Des Plaines, IL
National Provider Identifier
1821198946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PRESENCE HOME CARE
- Practice address
- 2380 E Dempster St
Des Plaines, IL 60016-4839 - Phone
- (847) 493-4835
- Fax
- (847) 493-4923
- NPI assigned
- Sep 25, 2006
- Last updated
- Dec 7, 2017
- 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
- Michael J Gordong
- Title
- Ceo/President
- Phone
- (708) 478-7911
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
2380 E Dempster St
Des Plaines, IL 60016-4839
Mailing address
2380 E Dempster St
Des Plaines, IL 60016-4839
Phone (847) 493-4835
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5081 | Other | BLUE CROSS |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Ascension Living Saint Anne Place
- Skilled Nursing Facility
- Rockford, IL
- NPI 1114913241
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1512604800000",
"number": "1821198946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2380 E DEMPSTER ST",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600164839",
"telephone_number": "847-493-4835",
"fax_number": "847-493-4923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2380 E DEMPSTER ST",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600164839",
"telephone_number": "847-493-4835",
"fax_number": "847-493-4923"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESENCE HOME CARE",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-25",
"last_updated": "2017-12-07",
"status": "A",
"authorized_official_last_name": "GORDONG",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "708-478-7911"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "5081",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Des Plaines, IL
- Presence Ambulatory Services
- Presence Chicago Hospitals Network (Presence Holy Family Medical Center)
- Presence Health Partners, LLC
- Presence Healthcare Services (Presence Home Care Pharmacy)
- Presence Holy Family Medical Center
- Presence Lakeshore Gastroenterology, LLC
- Presence Nazarethville
- Presence Senior Services Chicagoland (Presence Nazarethville)
- Robert H Priebe, D.C.
- Primary Care Medical Specialists L.L.C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.