Professional Care Team Corporation

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1011169 Issued in IL

Legal business name

PROFESSIONAL CARE TEAM CORPORATION

Practice address

855 E Golf Rd
Suite 2138
Arlington Heights, IL 60005-5222

Phone

(847) 483-8890

Fax

(847) 594-4292

NPI assigned

Jul 21, 2010

Organization subpart

No

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

Authorized official

Name

Jenny De Vera

Title

President

Phone

(773) 203-4356

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1982917712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 E GOLF RD",
            "address_2": "SUITE 2138",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600055222",
            "telephone_number": "847-483-8890",
            "fax_number": "847-594-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 E GOLF RD",
            "address_2": "SUITE 2138",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600055222",
            "telephone_number": "847-483-8890",
            "fax_number": "847-594-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL CARE TEAM CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-21",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "DE VERA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-203-4356"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.