Individual provider Active NPI

Robina Renee Williams

  • Homemaker
  • Hazel Crest, IL
National Provider Identifier
1932732237
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
License
3002151 Issued in IL
Practice address
17504 E Carriageway Dr Ste B
Hazel Crest, IL 60429-2089
Phone
(708) 446-3221
Fax
(708) 365-6253
NPI assigned
Feb 15, 2020
Last updated
Sep 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X 3002151 IL Primary

Addresses

Primary practice location

17504 E Carriageway Dr Ste B
Hazel Crest, IL 60429-2089

Mailing address

17504 E Carriageway Dr Ste B
Hazel Crest, IL 60429-2089
Phone (708) 446-3221

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address robina@brotherhoodoffaith.org Direct
Direct Messaging Address wrobina@ymail.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

State licenses

LicenseStateTypeSpecialty
3002151ILMDHomemaker

Practice roles

OrganizationSpecialtyStatusNew patients
Catherines Vision Health Services LLC In Home Supportive Care CurrentSince Jan 26, 2025 Accepting new patients

Locations

17504 E Carriageway Dr
Ste B
Hazel Crest, IL 60429
Phone (708) 799-0300

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1581724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1932732237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17504 E CARRIAGEWAY DR STE B",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292089",
            "telephone_number": "708-446-3221",
            "fax_number": "708-365-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17504 E CARRIAGEWAY DR STE B",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292089",
            "telephone_number": "708-446-3221",
            "fax_number": "708-365-6253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ROBINA",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-15",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "IL",
            "license": "3002151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robina@brotherhoodoffaith.org",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Primary",
            "address_1": "16313 Turner Ave",
            "city": "Markham",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604285446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wrobina@ymail.com",
            "affiliation": "N",
            "address_1": "17504 E Carriageway Dr Ste B",
            "city": "Hazel Crest",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604292089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hazel Crest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.