Active NPI
MG Care, Inc.
Doing business as Synergy HomeCare of DuPage County
- In Home Supportive Care Agency
- Glen Ellyn, IL
National Provider Identifier
1942562327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- HF100045
- Legal business name
- MG CARE, INC.
- Doing business as
- Synergy HomeCare of DuPage County
- Practice address
- 799 Roosevelt Rd
Building 4 Suite 105
Glen Ellyn, IL 60137-5908 - Phone
- (630) 517-0068
- Fax
- (630) 517-0069
- NPI assigned
- Jun 12, 2012
- Last updated
- Jun 12, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark J. Gould
- Title
- President
- Phone
- (630) 517-0068
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | HF100045 | IL | Primary |
Addresses
Primary practice location
799 Roosevelt Rd
Building 4 Suite 105
Glen Ellyn, IL 60137-5908
Mailing address
799 Roosevelt Rd
Building 4 Suite 105
Glen Ellyn, IL 60137-5908
Phone (630) 517-0068
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HF100045 | Other | IL | ILLINOIS DEPARTMENT OF PUBLIC HEALTH |
Other names 1
- Synergy HomeCare of DuPage County
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339459200000",
"number": "1942562327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "799 ROOSEVELT RD",
"address_2": "BUILDING 4 SUITE 105",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601375908",
"telephone_number": "630-517-0068",
"fax_number": "630-517-0069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "799 ROOSEVELT RD",
"address_2": "BUILDING 4 SUITE 105",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601375908",
"telephone_number": "630-517-0068",
"fax_number": "630-517-0069"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MG CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-12",
"last_updated": "2012-06-12",
"status": "A",
"authorized_official_last_name": "GOULD",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-517-0068",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "IL",
"license": "HF100045",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS DEPARTMENT OF PUBLIC HEALTH",
"identifier": "HF100045",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Synergy HomeCare of DuPage County",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glen Ellyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.