Active NPI
Illinois Home Care Specialists Inc
- Homemaker
- Bloomingdale, IL
National Provider Identifier
1952985202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9538297 | Medicaid | IL |
National Provider Directory
National Provider Directory- Tax ID family
- Illinois Home Care Specialists Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Arlington Heights, IL
- NPI 1295667921
-
- Homemaker
- Arlington Heights, IL
- NPI 1639644800
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.