Organization Active NPI

Lakewood Home Health Care

  • Home Health Agency
  • Oak Lawn, IL
National Provider Identifier
1922317445
Registry record updated Oct 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1011347 Issued in IL
Legal business name
LAKEWOOD HOME HEALTH CARE
Practice address
9205 S Keating Ave
Oak Lawn, IL 60453-2582
Phone
(708) 229-8060
NPI assigned
Oct 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2010

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

Authorized official

Name
Derrick Beasley
Title
President
Phone
(224) 565-6284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1011347 IL Primary

Addresses

Primary practice location

9205 S Keating Ave
Oak Lawn, IL 60453-2582

Mailing address

9205 S Keating Ave
Oak Lawn, IL 60453-2582
Phone (708) 229-8060

National Provider Directory

National Provider Directory

Locations

9205 S Keating Ave
Oak Lawn, IL 60453
Phone (708) 229-8060

NPI Registry JSON

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1922317445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9205 S KEATING AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532582",
            "telephone_number": "708-229-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9205 S KEATING AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532582",
            "telephone_number": "708-229-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-01",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-565-6284"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; 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.