St Joann Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ST JOANN HOME CARE LLC

Practice address

5999 New Wilke Rd
Rolling Meadows, IL 60008-4506

Phone

(773) 749-8934

NPI assigned

Mar 16, 2018

Organization subpart

No

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

Authorized official

Name

Jeannette Kantengwa

Title

Owner

Phone

(773) 749-8934

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521158400000",
    "number": "1861995797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 E HARBOR DR",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600473038",
            "telephone_number": "773-749-8934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5999 NEW WILKE RD",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600084506",
            "telephone_number": "773-749-8934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOANN HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-16",
        "last_updated": "2018-03-16",
        "status": "A",
        "authorized_official_last_name": "KANTENGWA",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-749-8934"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Rolling Meadows, IL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2018; 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.