Organization Active NPI

Premium Home Health Care, Inc.

  • Home Health Agency
  • Lincolnwood, IL
National Provider Identifier
1972758621
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010873 Issued in IL
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.