Organization Active NPI

First Available Medical Staffing Inc

  • In Home Supportive Care Agency
  • Chicago, IL
National Provider Identifier
1861898835
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FIRST AVAILABLE MEDICAL STAFFING INC
Practice address
4552 1/2 N Broadway St
Chicago, IL 60640-5689
Phone
(773) 784-2855
NPI assigned
Nov 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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

Authorized official

Name
Igbinoghodua J Edomwonyi
Title
Vice President
Phone
(773) 784-2855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4552 1/2 N Broadway St
Chicago, IL 60640-5689

Mailing address

4552 1/2 N Broadway St
Chicago, IL 60640-5689

National Provider Directory

National Provider Directory

Locations

4552 N Broadway St
Chicago, IL 60640
Phone (773) 784-2855

NPI Registry JSON

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1861898835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4552 1/2 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4552 1/2 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405689",
            "telephone_number": "773-784-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST AVAILABLE MEDICAL STAFFING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-18",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "EDOMWONYI",
        "authorized_official_first_name": "IGBINOGHODUA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "773-784-2855"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "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 Nov 18, 2014; 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.