Active NPI
Home Care Plus Inc
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
National Provider Identifier
1962485151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 203-00692
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1621579 | Other | IL | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
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.