Organization Active NPI

Presence Home Care

  • Home Health Agency
  • Des Plaines, IL
National Provider Identifier
1821198946
Registry record updated Dec 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5081OtherBLUE CROSS

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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

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.

Verify at the official NPI Registry.