Organization Active NPI

Circle of Friends Home Health Care,LLC

  • Home Health Agency
  • Lyons, IL
National Provider Identifier
1962642033
Registry record updated Mar 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
APPLIED FOR Issued in IL
Legal business name
CIRCLE OF FRIENDS HOME HEALTH CARE,LLC
Practice address
7848 W Odgen Ave
Lyons, IL 60534-1389
Phone
(708) 442-4962
Fax
(708) 442-4962
NPI assigned
Mar 2, 2009
Last updated
Mar 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2009

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

Authorized official

Name
Mr. Sudhir Kumar, OTR/L
Title
Administrator
Phone
(708) 442-4962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X APPLIED FOR IL Primary

Addresses

Primary practice location

7848 W Odgen Ave
Lyons, IL 60534-1389

Mailing address

7848 W. Ogden Ave-B East
Lyons, IL 60534-1389
Phone (708) 442-4962

Other identifiers 1

IdentifierTypeStateIssuer
APPLIED FOR LICENSURMedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
Circle of Friends Home Health Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235952000000",
    "number": "1962642033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7848 W. OGDEN AVE-B EAST",
            "city": "LYONS",
            "state": "IL",
            "postal_code": "605341389",
            "telephone_number": "708-442-4962",
            "fax_number": "708-442-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7848 W ODGEN AVE",
            "city": "LYONS",
            "state": "IL",
            "postal_code": "605341389",
            "telephone_number": "708-442-4962",
            "fax_number": "708-442-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF FRIENDS HOME HEALTH CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2009-03-02",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "SUDHIR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "708-442-4962",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "APPLIED FOR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "APPLIED FOR LICENSUR",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyons, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; 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.