Active NPI
Premium Home Health Care, Inc.
- Home Health Agency
- Lincolnwood, IL
National Provider Identifier
1972758621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1010873
- Legal business name
- PREMIUM HOME HEALTH CARE, INC.
- Practice address
- 7161 N Cicero Ave
Suite 200
Lincolnwood, IL 60712-2194 - Phone
- (847) 673-5600
- Fax
- (847) 673-8744
- NPI assigned
- Nov 21, 2008
- Last updated
- Nov 21, 2008
- 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
- Ms. Pacita Gadia, RN
- Title
- Administrator/Director of Nursing
- Phone
- (847) 673-5600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1010873 | IL | Primary |
Addresses
Primary practice location
7161 N Cicero Ave
Suite 200
Lincolnwood, IL 60712-2194
Mailing address
7161 N Cicero Ave
Suite 200
Lincolnwood, IL 60712-2194
Phone (847) 673-5600
National Provider Directory
National Provider DirectoryLocations
7161 N Cicero Ave
Ste 200
Lincolnwood, IL 60712
Phone (312) 953-8711
5309 Lincoln Ave
Ste 1
Skokie, IL 60077
Phone (847) 983-8029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1227225600000",
"number": "1972758621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7161 N CICERO AVE",
"address_2": "SUITE 200",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607122194",
"telephone_number": "847-673-5600",
"fax_number": "847-673-8744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7161 N CICERO AVE",
"address_2": "SUITE 200",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607122194",
"telephone_number": "847-673-5600",
"fax_number": "847-673-8744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIUM HOME HEALTH CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-21",
"last_updated": "2008-11-21",
"status": "A",
"authorized_official_last_name": "GADIA",
"authorized_official_first_name": "PACITA",
"authorized_official_title_or_position": "ADMINISTRATOR/DIRECTOR OF NURSING",
"authorized_official_telephone_number": "847-673-5600",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IL",
"license": "1010873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincolnwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.