Organization Active NPI

Illinois Home Care Specialists Inc

  • Homemaker
  • Bloomingdale, IL
National Provider Identifier
1952985202
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
ILLINOIS HOME CARE SPECIALISTS INC
Practice address
123 E Lake St Ste 204
Bloomingdale, IL 60108-1100
Phone
(630) 283-3637
Fax
(847) 278-1189
NPI assigned
May 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Authorized official

Name
Wardia Kando
Title
Ceo
Phone
(847) 493-9328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X Primary

Addresses

Primary practice location

123 E Lake St Ste 204
Bloomingdale, IL 60108-1100

Mailing address

123 E Lake St Ste 204
Bloomingdale, IL 60108-1100
Phone (847) 493-9328

Other identifiers 1

IdentifierTypeStateIssuer
9538297MedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
Illinois Home Care Specialists Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1952985202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 E LAKE ST STE 204",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081100",
            "telephone_number": "847-493-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 E LAKE ST STE 204",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081100",
            "telephone_number": "630-283-3637",
            "fax_number": "847-278-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS HOME CARE SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "KANDO",
        "authorized_official_first_name": "WARDIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-493-9328"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9538297",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.