Organization Active NPI

Mahoney Home Healthcare Services Inc.

  • Home Health Agency
  • Chicago, IL
National Provider Identifier
1851562300
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MAHONEY HOME HEALTHCARE SERVICES INC.
Practice address
9133 S Stony Island Ave
Suite 2
Chicago, IL 60617-3512
Phone
(773) 375-9300
Fax
(773) 375-9337
NPI assigned
Mar 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Johnny Lee Carter Jr.
Title
Ceo/President
Phone
(773) 375-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

9133 S Stony Island Ave
Suite 2
Chicago, IL 60617-3512

Mailing address

9133 S Stony Island Ave
Suite 2
Chicago, IL 60617-3512
Phone (773) 375-9300

National Provider Directory

National Provider Directory

Locations

9133 S Stony Island Ave
#2
Chicago, IL 60617
Phone (773) 375-9300

506 E 162nd St
South Holland, IL 60473
Phone (708) 331-5800

837 E 162nd St
Ste 11
South Holland, IL 60473
Phone (708) 331-5800

NPI Registry JSON

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1851562300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9133 S STONY ISLAND AVE",
            "address_2": "SUITE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173512",
            "telephone_number": "773-375-9300",
            "fax_number": "773-375-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9133 S STONY ISLAND AVE",
            "address_2": "SUITE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173512",
            "telephone_number": "773-375-9300",
            "fax_number": "773-375-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHONEY HOME HEALTHCARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "773-375-9300",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "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 Mar 12, 2008; 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.