Active NPI
Golden Star Home Health Care, LLC
- Home Health Agency
- Chicago, IL
National Provider Identifier
1851731384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1011087
- Legal business name
- GOLDEN STAR HOME HEALTH CARE, LLC
- Practice address
- 4001 W Devon Ave Ste 508
Chicago, IL 60646-4540 - Phone
- (708) 320-2196
- Fax
- (708) 320-2959
- NPI assigned
- Jun 28, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Josephine S. Miller
- Title
- Administrator
- Phone
- (708) 320-2196
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1011087 | IL | Primary |
Addresses
Primary practice location
4001 W Devon Ave Ste 508
Chicago, IL 60646-4540
Mailing address
4001 W Devon Ave Ste 508
Chicago, IL 60646-4540
Phone (708) 320-2196
National Provider Directory
National Provider Directory- Tax ID family
- Golden Star Home Health Care LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Niles, IL
- NPI 1295064913
Locations
4001 W Devon Ave
Ste 508
Chicago, IL 60646
Phone (708) 320-2196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1372377600000",
"number": "1851731384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 W DEVON AVE STE 508",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606464540",
"telephone_number": "708-320-2196",
"fax_number": "708-320-2959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 W DEVON AVE STE 508",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606464540",
"telephone_number": "708-320-2196",
"fax_number": "708-320-2959"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN STAR HOME HEALTH CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-28",
"last_updated": "2013-06-28",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "JOSEPHINE",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "708-320-2196",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IL",
"license": "1011087",
"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 Jun 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.