Organization Active NPI

Healthcare Connect 360 LLC

  • Nurse Practitioner
  • Rolling Meadows, IL
National Provider Identifier
1861164816
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
HEALTHCARE CONNECT 360 LLC
Doing business as
Healthcare connect 360 LLC
Practice address
3315 Algonquin Rd Ste 420C
Rolling Meadows, IL 60008-3250
Phone
(847) 345-2441
NPI assigned
Sep 29, 2021
Last updated
Aug 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Authorized official

Name
Mr. Anthony Quesada, PMHNPNPI 1467924902
Title
Owner
Phone
(847) 345-2441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

3315 Algonquin Rd Ste 420C
Rolling Meadows, IL 60008-3250

Mailing address

934 W Oxford CT
Palatine, IL 60067-6646
Phone (847) 644-9317

Other practice location 1

934 W Oxford Ct
Palatine, IL 60067-6646
Phone (847) 644-9317

Other names 1

  • Healthcare connect 360 LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220121001110 IL Part B Supplier - Clinic/Group Practice 3375935414 Receives reassigned benefits from 3 practitioners
Practice locations: Palatine, IL

National Provider Directory

National Provider Directory

Locations

3315 Algonquin Rd
Ste 420C
Rolling Meadows, IL 60008
Phone (847) 345-2441

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1861164816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 W OXFORD CT",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600676646",
            "telephone_number": "847-644-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 ALGONQUIN RD STE 420C",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600083250",
            "telephone_number": "847-345-2441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "934 W Oxford Ct",
            "address_purpose": "LOCATION",
            "city": "Palatine",
            "state": "IL",
            "postal_code": "600676646",
            "country_code": "US",
            "telephone_number": "847-644-9317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTHCARE CONNECT 360 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-29",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "QUESADA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-345-2441",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthcare connect 360 LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Healthcare connect 360 LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rolling Meadows, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.