MCC HEALTHCARE SERVICES, INC. (NPI# 1891912721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891912721 |
| Entity Type | Organization |
| Organization Name | MCC HEALTHCARE SERVICES, INC. |
| Practice Address |
9143 S Kedzie Ave Evergreen Park IL 60805-1606 |
| Practice Telephone | 7085817700 |
| Mailing Telephone | 7085817700 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MRS. GRACITA C SIWA (PRESIDENT-DIRECTOR OF NURSING) |
| Authorized Official Telephone | 7085817700 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 1005321 | IL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS / BLUE SHIELD | 50269 | 01 |
| Street Address |
9143 S KEDZIE AVE |
| City | EVERGREEN PARK |
| State | IL |
| Zip Code | 60805-1606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689810137 | Mcc Healthcare Services | Home Health | 9143 S Kedzie Ave, Evergreen Park, IL 60805-1606 | 2009-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254603 | Cynthia Nicole Bucio | Pharmacist | 9400 S. Western, Evergreen Park, N/A 60805 | 2020-10-27 |
| 1124530456 | Foundations Counseling, LLC | Social Worker | 9730 S Western Ave Ste 215, Evergreen Park, IL 60805 | 2017-10-26 |
| 1184147886 | Luke Blaeser | Specialist/Technologist | 2856 W. 97th Pl., Evergreen Park, IL 60805 | 2017-07-25 |
| 1396193322 | Daniel Joseph Bierbaum Howard | Emergency Medicine | 2800 95th St, Emergency Department, Evergreen Park, IL 60805 | 2016-05-31 |
| 1588037873 | Lcr Primary Care LLC | Exclusive Provider Organization | 9237 S.pulaski, Ste. 2s, Evergreen Park, IL 60805 | 2015-11-09 |
| 1447639091 | Nancy Sanchez | Social Worker | 9832 S Utica Ave, Evergreen Park, IL 60805 | 2015-05-28 |
| 1629334743 | Harshad M. Mehta Md Sc | Psychiatry & Neurology | 2850 W. 95th Street, Suite 206, Evergreen Park, IL 60805 | 2012-04-03 |
| 1235407305 | Victoria T Adesina | Pharmacist | 8700 South Kedzie Ave, Evergreen Park, IL 60805 | 2011-12-05 |
| 1891072922 | Zahia-lena Refat Hussien | Pharmacist | 8700 S. Kedzie Ave, Evergreen Park, IL 60805 | 2011-11-03 |
| 1891079091 | Denise Adams | Occupational Therapy Assistant | 9217 S. Kedzie, Evergreen Park, IL 60805 | 2011-10-06 |
| Find all providers in zip 60805 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093113946 | Diversity Health Crae, Inc | Home Health | 9141 S Kedzie Ave, Evergreen Park, IL 60805-1606 | 2014-12-09 |
| 1871853531 | Valentine Home Health Care Inc | Home Health | 3337 W 95th St, Suite 1, Evergreen Park, IL 60805-2234 | 2012-05-29 |
| 1689932733 | Mind Over Matter Psychiatric Home Healthcare, Inc. | Home Health | 9730 S Western Ave Ste 712, Evergreen Park, IL 60805-2826 | 2012-04-26 |
| 1326376229 | Fidelity Health Care Inc | Home Health | 3112 W 95th St, Suiteb, Evergreen Park, IL 60805-2405 | 2009-12-03 |
| 1063641355 | Magnificent Home Healthcare, LLC | Home Health | 3345 W 95th St, Evergreen Park, IL 60805-2234 | 2009-07-08 |
| 1548448897 | Hyacinth Home Health Inc. | Home Health | 9500 S Avers Ave, Suite 5, Evergreen Park, IL 60805-2018 | 2008-02-07 |
| 1093877656 | Suburban Home Health Care, Inc. | Home Health | 9318 S Kedzie Ave, Suite 8, Evergreen Park, IL 60805-2323 | 2006-12-13 |
| 1083714026 | D K Healthcare Services,inc | Home Health | 3114 W 95th St, Evergreen Park, IL 60805-2405 | 2006-09-22 |
| 1760586366 | Hosannas Home Health Agency Inc. | Home Health | 2823 W 87th St, Evergreen Park, IL 60805-1135 | 2006-09-12 |
| 1184637746 | A-1 Home Health Care, Inc | Home Health | 3335 W 95th St, Evergreen Park, IL 60805-2234 | 2006-08-14 |
| Find all providers in EVERGREEN PARK | ||||
| City | EVERGREEN PARK |
| Zip Code | 60805 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.