Active NPI
Geriacare Home Healthcare Inc
- Home Health Agency
- Lombard, IL
National Provider Identifier
1982886974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1010750
- Legal business name
- GERIACARE HOME HEALTHCARE INC
- Practice address
- 450 E 22ND St
Suite 172
Lombard, IL 60148-6113 - Phone
- (630) 620-9305
- Fax
- (630) 216-1150
- NPI assigned
- Nov 30, 2007
- 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. Roy Bongon Siapno, BSN RN
- Title
- Administrator/Agency Supervisor
- Phone
- (630) 620-9305
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1010750 | IL | Primary |
Addresses
Primary practice location
450 E 22ND St
Suite 172
Lombard, IL 60148-6113
Mailing address
450 E 22ND St
Suite 172
Lombard, IL 60148-6113
Phone (630) 620-9305
National Provider Directory
National Provider DirectoryLocations
6900 Main St
Ste 165
Downers Grove, IL 60516
Phone (630) 322-9661
4413 Roosevelt Rd
Ste 111B
Hillside, IL 60162
Phone (708) 540-4033
450 E 22nd St
Ste 172
Lombard, IL 60148
Phone (312) 925-7200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360886400000",
"number": "1982886974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 E 22ND ST",
"address_2": "SUITE 172",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601486113",
"telephone_number": "630-620-9305",
"fax_number": "630-216-1150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 E 22ND ST",
"address_2": "SUITE 172",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601486113",
"telephone_number": "630-620-9305",
"fax_number": "630-216-1150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GERIACARE HOME HEALTHCARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-30",
"last_updated": "2013-02-15",
"status": "A",
"authorized_official_last_name": "SIAPNO",
"authorized_official_first_name": "ROY",
"authorized_official_middle_name": "BONGON",
"authorized_official_title_or_position": "ADMINISTRATOR/AGENCY SUPERVISOR",
"authorized_official_telephone_number": "630-620-9305",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "BSN RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IL",
"license": "1010750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lombard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.