Vna Private Duty of Illinois LTD

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

VNA PRIVATE DUTY OF ILLINOIS LTD

Practice address

200 Howard Ave
Suite 248
Des Plaines, IL 60018-5906

Phone

(866) 676-3931

Fax

(847) 803-0821

NPI assigned

Oct 31, 2005

Organization subpart

No

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

Authorized official

Name

Annette M Heneghan, R.N.

Title

Administrator

Phone

(866) 676-3931

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Glencare Private Duty Former legal business name

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1932190824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOWARD AVE",
            "address_2": "SUITE 248",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600185906",
            "telephone_number": "866-676-3931",
            "fax_number": "847-803-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOWARD AVE",
            "address_2": "SUITE 248",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600185906",
            "telephone_number": "866-676-3931",
            "fax_number": "847-803-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VNA PRIVATE DUTY OF ILLINOIS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "HENEGHAN",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "866-676-3931",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDPH LICENSE",
            "identifier": "3000672",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glencare Private Duty",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Vitalsync Inc
• Vito Pathways LLC
• Isabella Vivaldi
• Gregory A Vivirito, DDS
• Vincent Cosimo Vivirito, DDS
• Zuie Wakade
• Walgreen Co
• Walgreen Co
• Walgreen Co
• Walgreen Co

• All providers in Des Plaines, IL
• Home Health Agency in Illinois

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