Midwest Home Health Care of Frankfort, LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

041212612 Issued in IL

Legal business name

MIDWEST HOME HEALTH CARE OF FRANKFORT, LLC.

Practice address

8936 Charrington Dr
Frankfort, IL 60423-9447

Phone

(815) 277-2631

Fax

(815) 277-2632

NPI assigned

Jan 27, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Petronilo Banatin Aldeza, REGISTERED NURSE

Title

President

Phone

(815) 277-2631

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311811200000",
    "number": "1912145152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8936 CHARRINGTON DR",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604239447",
            "telephone_number": "815-277-2631",
            "fax_number": "815-277-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8936 CHARRINGTON DR",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604239447",
            "telephone_number": "815-277-2631",
            "fax_number": "815-277-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST HOME HEALTH CARE OF FRANKFORT, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2011-07-28",
        "status": "A",
        "authorized_official_last_name": "ALDEZA",
        "authorized_official_first_name": "PETRONILO",
        "authorized_official_middle_name": "BANATIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-277-2631",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "041219995",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "041204358",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "041212612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2011; 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.