American Home Ambulatory Care Center,LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

AMERICAN HOME AMBULATORY CARE CENTER,LLC

Practice address

601 W Golf Rd
Suite 106
Mount Prospect, IL 60056-4276

Phone

(773) 930-4538

NPI assigned

Sep 14, 2016

Last updated

Sep 14, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

AMERICAN HOME CIRCLE OF CARE MANAGER, INCAs reported in NPPES

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

Authorized official

Name

Virginia Mazola

Title

Coo

Phone

(773) 930-4538

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1952859332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W GOLF RD",
            "address_2": "SUITE 106",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600564276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W GOLF RD",
            "address_2": "SUITE 106",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600564276",
            "telephone_number": "773-930-4538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HOME AMBULATORY CARE CENTER,LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICAN HOME CIRCLE OF CARE MANAGER, INC",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "MAZOLA",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "773-930-4538"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Mount Prospect, IL
• Providers in Mount Prospect, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.