Active NPI
Christ Missionary Home Health Agency, Inc.
- Home Health Agency
- Chicago, IL
National Provider Identifier
1992145031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CHRIST MISSIONARY HOME HEALTH AGENCY, INC.
- Doing business as
- Christ Missionary Home Health Agency, Inc.
- Practice address
- 3121 W 71St St Apt 2Front
Chicago, IL 60629-3003 - Phone
- (312) 566-1888
- NPI assigned
- Jul 3, 2013
- 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
- Prof. Mellony Lashon Gant, HOME CARE SERVICES
- Title
- Manager / Director/ President/
- Phone
- (312) 566-1888
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
3121 W 71St St Apt 2Front
Chicago, IL 60629-3003
Mailing address
PO Box 368218
Chicago, IL 60636-8218
Phone (312) 566-1888
Other names 1
- Christ Missionary Home Health Agency, Inc.
National Provider Directory
National Provider Directory- Tax ID family
- Christ Missionary Home Health Agency Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Chicago, IL
- NPI 1881143980
Locations
3121 W 71st St
#2
Chicago, IL 60629
Phone (312) 566-1888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529452800000",
"number": "1992145031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 368218",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606368218",
"telephone_number": "312-566-1888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3121 W 71ST ST APT 2FRONT",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606293003",
"telephone_number": "312-566-1888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRIST MISSIONARY HOME HEALTH AGENCY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-03",
"last_updated": "2018-06-20",
"status": "A",
"authorized_official_last_name": "GANT",
"authorized_official_first_name": "MELLONY",
"authorized_official_middle_name": "LASHON",
"authorized_official_title_or_position": "MANAGER / DIRECTOR/ PRESIDENT/",
"authorized_official_telephone_number": "312-566-1888",
"authorized_official_name_prefix": "Prof.",
"authorized_official_credential": "HOME CARE SERVICES"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Christ Missionary Home Health Agency, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.