Organization Active NPI

Angelfish Enterprises, Inc

Doing business as FirstLight Home Care

  • In Home Supportive Care Agency
  • Schaumburg, IL
National Provider Identifier
1952833675
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
3001501 Issued in IL
Legal business name
ANGELFISH ENTERPRISES, INC
Doing business as
FirstLight Home Care
Practice address
641 S Roselle Rd
Schaumburg, IL 60193-3122
Phone
(847) 744-6381
Fax
(847) 278-1775
NPI assigned
Mar 31, 2017
Last updated
Mar 31, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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

Authorized official

Name
Ms. Patricia K Eubanks
Title
President
Phone
(847) 744-6381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 3001501 IL Primary

Addresses

Primary practice location

641 S Roselle Rd
Schaumburg, IL 60193-3122

Mailing address

641 S Roselle Rd
Schaumburg, IL 60193-3122
Phone (847) 744-6381

Other names 1

  • FirstLight Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

641 S Roselle Rd
Schaumburg, IL 60193
Phone (847) 744-6381

NPI Registry JSON

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1952833675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 S ROSELLE RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601933122",
            "telephone_number": "847-744-6381",
            "fax_number": "847-278-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 S ROSELLE RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601933122",
            "telephone_number": "847-744-6381",
            "fax_number": "847-278-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELFISH ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "EUBANKS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-744-6381",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "3001501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FirstLight Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.