Organization Active NPI

Geriacare Home Healthcare Inc

  • Home Health Agency
  • Lombard, IL
National Provider Identifier
1982886974
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010750 Issued in IL
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

Updated by the provider on Feb 15, 2013

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.