Active NPI
Maxmath Tutoring Online Inc., Illinois Branch
- Home Health Agency
- Chicago, IL
National Provider Identifier
1891218574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 04685P
- Legal business name
- MAXMATH TUTORING ONLINE INC., ILLINOIS BRANCH
- Practice address
- 1440 W Taylor St
Chicago, IL 60607-4623 - Phone
- (888) 959-4159
- Fax
- (888) 959-4173
- NPI assigned
- Jul 25, 2017
- 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
- Jean Maxcene Decarde
- Title
- President
- Phone
- (888) 959-4159
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 04685P | IL | Primary |
Addresses
Primary practice location
1440 W Taylor St
Chicago, IL 60607-4623
Mailing address
1440 W Taylor St
Chicago, IL 60607-4623
Phone (888) 959-4159
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04685P | Medicaid | IL |
Other names 1
- MaxMath home Health Care Agency of Illinois
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1891218574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 W TAYLOR ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606074623",
"telephone_number": "888-959-4159",
"fax_number": "888-959-4173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 W TAYLOR ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606074623",
"telephone_number": "888-959-4159",
"fax_number": "888-959-4173"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAXMATH TUTORING ONLINE INC., ILLINOIS BRANCH",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-25",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "DECARDE",
"authorized_official_first_name": "JEAN",
"authorized_official_middle_name": "MAXCENE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "888-959-4159"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IL",
"license": "04685P",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04685P",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MaxMath home Health Care Agency of Illinois",
"code": "3",
"type": "Doing Business As"
}
]
}
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.