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CONRAD CARE INCORPORATED NPI 1821763947


NPI Information

NPI: 1821763947
Provider Name: CONRAD CARE INCORPORATED
Classification: Homemaker - 376J00000X
Entity Type: Organization

CLIA Number: 14D2283638

Address:
3525 W PETERSON AVE STE 505
CHICAGO, IL
ZIP 60659
Phone: (773) 240-9225
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CONRAD CARE INCORPORATED is a homemaker in Chicago, IL. The provider is an individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. CONRAD CARE INCORPORATED NPI is 1821763947. The provider is registered as an organization entity type.

The provider's business location address is:

3525 W PETERSON AVE STE 505
CHICAGO, IL
ZIP 60659-317
Phone: (773) 240-9225

The provider's authorized official is Nicholas Agbonifo .
The authorized official title is Administrator and has the following contact phone number (773) 240-9225.

The CLIA number assigned to this NPI record is 14D2283638 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/11/2021 and was last updated on 1/4/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome HealthNo
2376J00000XHomemakerYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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