Organization 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
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HF100045 Issued in IL
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
HF100045OtherILILLINOIS DEPARTMENT OF PUBLIC HEALTH

Other names 1

  • Synergy HomeCare of DuPage County Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.