Individual provider Active NPI

Anntrinia S Gunby

  • Home Health Aide
  • Chicago Heights, IL
National Provider Identifier
1891333050
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
1946 Bunker St
Chicago Heights, IL 60411-4048
Phone
(773) 280-2846
NPI assigned
Dec 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Primary

Addresses

Primary practice location

1946 Bunker St
Chicago Heights, IL 60411-4048

Mailing address

1946 Bunker St
Chicago Heights, IL 60411-4048
Phone (773) 280-2846

Other identifiers 1

IdentifierTypeStateIssuer
84-3945139MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kincarehousing@outlook.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kin Care Home Care Inc. Current Accepting new patients
Kin Care Home Care LLC Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1891333050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1946 BUNKER ST",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604114048",
            "telephone_number": "773-280-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1946 BUNKER ST",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604114048",
            "telephone_number": "773-280-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNBY",
        "first_name": "ANNTRINIA",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84-3945139",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kincarehousing@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "address_1": "1946 Bunker St",
            "city": "Chicago Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604114048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.