Organization Active NPI

Christ Missionary Home Health Agency,Inc.

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1881143980
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHRIST MISSIONARY HOME HEALTH AGENCY,INC.
Practice address
3121 W 71St St
5731 S. Washtenaw
Chicago, IL 60629-3003
Phone
(312) 566-1888
NPI assigned
Sep 29, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Miss Mellony L Gant
Title
President
Phone
(312) 566-1888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X IL Primary

Addresses

Primary practice location

3121 W 71St St
5731 S. Washtenaw
Chicago, IL 60629-3003

Mailing address

6120 S Kedzie Ave
5731 S. Washtenaw
Chicago, IL 60629-3319
Phone (312) 566-1888

Other names 1

  • n/a Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Christ Missionary Home Health Agency Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3121 W 71st St
#5731S
Chicago, IL 60629
Phone (312) 566-1888

6120 S Kedzie Ave
#5731S
Chicago, IL 60629

NPI Registry JSON

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1881143980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 S KEDZIE AVE",
            "address_2": "5731 S. WASHTENAW",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606293319",
            "telephone_number": "312-566-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 W 71ST ST",
            "address_2": "5731 S. WASHTENAW",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606293003",
            "telephone_number": "312-566-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIST MISSIONARY HOME HEALTH AGENCY,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GANT",
        "authorized_official_first_name": "MELLONY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-566-1888",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "n/a",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jul 21, 2022; 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.