Individual provider Active NPI

Flair Olvis Bitancor

  • Home Health Registered Nurse
  • Des Plaines, IL
National Provider Identifier
1831908953
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
041377463 Issued in IL
Practice address
9370 Noel Ave Unit a
Des Plaines, IL 60016-3880
Phone
(224) 805-7959
NPI assigned
Jan 3, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 041377463 IL Primary

Addresses

Primary practice location

9370 Noel Ave Unit a
Des Plaines, IL 60016-3880

Mailing address

9370 Noel Ave Unit a
Des Plaines, IL 60016-3880
Phone (224) 805-7959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
041377463ILMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1831908953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9370 NOEL AVE UNIT A",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600163880",
            "telephone_number": "224-805-7959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9370 NOEL AVE UNIT A",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600163880",
            "telephone_number": "224-805-7959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITANCOR",
        "first_name": "FLAIR",
        "middle_name": "OLVIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "IL",
            "license": "041377463",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 3, 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.