Bolingbrook Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1011304 Issued in IL

Legal business name

BOLINGBROOK HOME HEALTH LLC

Practice address

217 Christine Way
Bolingbrook, IL 60440-6138

Phone

(630) 378-9997

NPI assigned

Feb 22, 2011

Organization subpart

No

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

Authorized official

Name

Simon Tingem

Title

Administrator

Phone

(630) 378-9997

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Evelyn Ukpolo, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bolingbrook, IL
  • NPI 1891198628
  NPD (past)

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1851698203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 CHRISTINE WAY",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604406138",
            "telephone_number": "630-378-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 CHRISTINE WAY",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604406138",
            "telephone_number": "630-378-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLINGBROOK HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-22",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "TINGEM",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "630-378-9997"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bolingbrook Eye Specialists LTD
• Bolingbrook Family Chiropractic LTD
• Bolingbrook Foot & Ankle Center, P.C.
• Bolingbrook Foot Specialists LTD
• Bolingbrook Healthcare Associates S.C.
• Bolingbrook Memory Care, LLC
• Bolingbrook Pediatrics, SC
• Bolingbrook Pharmacy Inc
• Bolingbrook Taxi and Limousine Co
• Bolingbrook Urgent Care LLC

• Home Health Agency in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.