Organization Active NPI

Clearbrook

  • In Home Supportive Care Agency
  • Arlington Heights, IL
National Provider Identifier
1992059638
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
180.007827 Issued in IL
Legal business name
CLEARBROOK
Practice address
1835 W Central Rd
Arlington Heights, IL 60005-2410
Phone
(847) 870-7711
NPI assigned
Nov 2, 2012
Organization subpart
Yes
Parent organization
CLEARBROOKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Authorized official

Name
Ms. Alexia C Muniz
Title
Sibling Support Specialist
Phone
(847) 385-5308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 180.007827 IL Primary

Addresses

Primary practice location

1835 W Central Rd
Arlington Heights, IL 60005-2410

Mailing address

1835 W Central Rd
Arlington Heights, IL 60005-2410
Phone (847) 870-2239

National Provider Directory

National Provider Directory
Part of
Clearbrook

NPI Registry JSON

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1992059638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 W CENTRAL RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052410",
            "telephone_number": "847-870-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 W CENTRAL RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052410",
            "telephone_number": "847-870-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARBROOK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEARBROOK",
        "enumeration_date": "2012-11-02",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "MUNIZ",
        "authorized_official_first_name": "ALEXIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SIBLING SUPPORT SPECIALIST",
        "authorized_official_telephone_number": "847-385-5308",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "180.007827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; 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.