Mid-Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1010552 Issued in IL

Legal business name

MID-CARE, INC.

Practice address

4006 W Addison St
Chicago, IL 60641-3905

Phone

(773) 202-0195

Fax

(773) 202-0197

NPI assigned

Jun 30, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Myrna A. Cordero, R.N.

Title

Adminstrator

Phone

(773) 202-0195

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1871521526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 W ADDISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413905",
            "telephone_number": "773-202-0195",
            "fax_number": "773-202-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4006 W ADDISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413905",
            "telephone_number": "773-202-0195",
            "fax_number": "773-202-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "CORDERO",
        "authorized_official_first_name": "MYRNA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "773-202-0195",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mid-City Rehabilitation
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• Midcity Spine and Ortho Rehabilitation
• Evan Richard Middaugh
• Jennifer Anne Middendorf

• Home Health Agency in Chicago, IL
• Providers in Chicago, 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 Aug 6, 2007; 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.