Active NPI
Christ Missionary Home Health Agency,Inc.
- Community/Behavioral Health Agency
- Chicago, IL
National Provider Identifier
1881143980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Christ Missionary Home Health Agency Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Chicago, IL
- NPI 1992145031
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.