Organization Active NPI

Presence Healthcare Services

  • Home Infusion Therapy Pharmacy
  • Des Plaines, IL
National Provider Identifier
1841381738
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
054014112 Issued in IL
Legal business name
PRESENCE HEALTHCARE SERVICES
Doing business as
Presence Home Care Pharmacy
Practice address
100 N. River Road
Suite 122S
Des Plaines, IL 60016-1209
Phone
(847) 581-0808
Fax
(847) 410-4917
NPI assigned
Sep 27, 2006
Organization subpart
Yes
Parent organization
RESURRECTION SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Micheal Gordon
Title
Director
Phone
(708) 478-7911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Therapy Pharmacy 3336H0001X 054014112 IL Primary

Addresses

Primary practice location

100 N. River Road
Suite 122S
Des Plaines, IL 60016-1209

Mailing address

100 N. River Road
Suite 122S
Des Plaines, IL 60016-1209
Phone (847) 581-0808

Other names 1

  • Presence Home Care Pharmacy Doing business as

National Provider Directory

National Provider Directory
Part of
Mehroo Patel MD

Locations

100 N River Rd
Ste 122S
Des Plaines, IL 60016
Phone (847) 581-0808

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1841381738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N. RIVER ROAD",
            "address_2": "SUITE 122S",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161209",
            "telephone_number": "847-581-0808",
            "fax_number": "847-410-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N. RIVER ROAD",
            "address_2": "SUITE 122S",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161209",
            "telephone_number": "847-581-0808",
            "fax_number": "847-410-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESENCE HEALTHCARE SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RESURRECTION SERVICES",
        "enumeration_date": "2006-09-27",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "708-478-7911"
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "IL",
            "license": "054014112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Presence Home Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 17, 2018; 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.