Organization Active NPI

Home Care Plus Inc

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
National Provider Identifier
1962485151
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
203-00692 Issued in IL
Legal business name
HOME CARE PLUS INC
Practice address
4744 N Western Ave
Chicago, IL 60625-2013
Phone
(773) 267-5123
Fax
(872) 806-2867
NPI assigned
Nov 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Authorized official

Name
Mr. Lee P Portokalis
Title
Ceo
Phone
(773) 267-5123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 203-00692 IL Primary

Addresses

Primary practice location

4744 N Western Ave
Chicago, IL 60625-2013

Mailing address

4744 N Western Ave
Chicago, IL 60625-2013
Phone (773) 267-5123

Other identifiers 1

IdentifierTypeStateIssuer
1621579OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

6337 N Pulaski Rd
Chicago, IL 60646
Phone (773) 267-5123

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542585600000",
    "number": "1962485151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4744 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252013",
            "telephone_number": "773-267-5123",
            "fax_number": "872-806-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4744 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252013",
            "telephone_number": "773-267-5123",
            "fax_number": "872-806-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE PLUS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2018-11-19",
        "status": "A",
        "authorized_official_last_name": "PORTOKALIS",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-267-5123",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203-00692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1621579",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.