Organization Active NPI

Sweet Love Home Care Agency Inc.

  • Nursing Care Agency
  • South Holland, IL
National Provider Identifier
1962089367
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
SWEET LOVE HOME CARE AGENCY INC.
Practice address
17070 South Park Ave,
South Holland, IL 60473-6047
Phone
(229) 177-3561
NPI assigned
Mar 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Authorized official

Name
Felicite Foster
Title
President
Phone
(708) 913-4003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

17070 South Park Ave,
South Holland, IL 60473-6047

Mailing address

17070 South Park Ave,
South Holland, IL 60473-1735
Phone (117) 735-6182

Other identifiers 2

IdentifierTypeStateIssuer
82344372001MedicaidIL
4000693OtherILPUBLIC HEALTH LICENSE NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Sweet Love Home Care Agency 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.

Locations

17070 S Park Ave
South Holland, IL 60473
Phone (708) 877-7798

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1962089367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17070 SOUTH PARK AVE,",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604731735",
            "telephone_number": "117-735-6182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17070 SOUTH PARK AVE,",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604736047",
            "telephone_number": "229-177-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET LOVE HOME CARE AGENCY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "FELICITE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-913-4003"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82344372001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUBLIC HEALTH LICENSE NUMBER",
            "identifier": "4000693",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Holland, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.