Organization Active NPI

Maxmath Tutoring Online Inc., Illinois Branch

  • Home Health Agency
  • Chicago, IL
National Provider Identifier
1891218574
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
04685P Issued in IL
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

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
Jean Maxcene Decarde
Title
President
Phone
(888) 959-4159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
04685PMedicaidIL

Other names 1

  • MaxMath home Health Care Agency of Illinois Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.