NPIMap

Organization Active NPI

Conrad Care Incorporated

  • Homemaker
  • Chicago, IL
National Provider Identifier
1821763947
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
CONRAD CARE INCORPORATED
Practice address
3525 W Peterson Ave Ste 505
Chicago, IL 60659-3317
Phone
(773) 240-9225
NPI assigned
Aug 11, 2021
Last updated
Jan 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Authorized official

Name
Nicholas Agbonifo
Title
Administrator
Phone
(773) 240-9225

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
HomemakerGroup: 193400000X SINGLE SPECIALTY GROUP 376J00000X Primary

Addresses

Primary practice location

3525 W Peterson Ave Ste 505
Chicago, IL 60659-3317

Mailing address

23 Stirling LN Apt 1822
Willowbrook, IL 60527-3181
Phone (773) 240-9225

National Provider Directory

National Provider Directory
Tax ID family
Conrad Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1821763947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 STIRLING LN APT 1822",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605273181",
            "telephone_number": "773-240-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 W PETERSON AVE STE 505",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593317",
            "telephone_number": "773-240-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONRAD CARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-11",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "AGBONIFO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-240-9225"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.