Organization Active NPI

Edren Home Care Corporation

  • In Home Supportive Care Agency
  • Skokie, IL
National Provider Identifier
1962035410
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EDREN HOME CARE CORPORATION
Practice address
3917 Howard St
Skokie, IL 60076-3778
Phone
(847) 983-7385
Fax
(847) 983-7386
NPI assigned
Feb 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Authorized official

Name
Mrs. Renee Else
Title
RN / President
Phone
(847) 983-7385

Specialties & licenses 1

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

Addresses

Primary practice location

3917 Howard St
Skokie, IL 60076-3778

Mailing address

3917 Howard St
Skokie, IL 60076-3778
Phone (847) 983-7385

National Provider Directory

National Provider Directory

Locations

3917 Howard St
Skokie, IL 60076
Phone (847) 674-7102

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1962035410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3917 HOWARD ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763778",
            "telephone_number": "847-983-7385",
            "fax_number": "847-983-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 HOWARD ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763778",
            "telephone_number": "847-983-7385",
            "fax_number": "847-983-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDREN HOME CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "ELSE",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "RN / PRESIDENT",
        "authorized_official_telephone_number": "847-983-7385",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.