Organization Active NPI

Suburban Healthcare Services, LLC

  • Home Health Agency
  • Westchester, IL
National Provider Identifier
1932825700
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUBURBAN HEALTHCARE SERVICES, LLC
Practice address
9999 W Roosevelt Rd Ste 206
Westchester, IL 60154-2761
Phone
(708) 938-5148
Fax
(708) 938-5148
NPI assigned
Oct 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Authorized official

Name
Gad C Ikeanumba
Title
Owner/President
Phone
(708) 938-5148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

9999 W Roosevelt Rd Ste 206
Westchester, IL 60154-2761

Mailing address

9999 W Roosevelt Rd Ste 206
Westchester, IL 60154-2761
Phone (708) 938-5148

National Provider Directory

National Provider Directory

Locations

9999 W Roosevelt Rd
Ste 206
Westchester, IL 60154
Phone (708) 938-5148

NPI Registry JSON

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1932825700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9999 W ROOSEVELT RD STE 206",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601542761",
            "telephone_number": "708-938-5148",
            "fax_number": "708-938-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9999 W ROOSEVELT RD STE 206",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601542761",
            "telephone_number": "708-938-5148",
            "fax_number": "708-938-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "IKEANUMBA",
        "authorized_official_first_name": "GAD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "708-938-5148"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westchester, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.