Healthcare Provider Details

I. General information

NPI: 1578302584
Provider Name (Legal Business Name): CINQCARE AT HOME PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2024
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

190 S LA SALLE ST STE 2625
CHICAGO IL
60603-3410
US

IV. Provider business mailing address

2300 N ST NW STE 200
WASHINGTON DC
20037-1353
US

V. Phone/Fax

Practice location:
  • Phone: 844-401-4663
  • Fax:
Mailing address:
  • Phone: 716-882-0366
  • Fax: 716-306-4177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. RODNEY C ARMSTEAD
Title or Position: CEO
Credential: MD
Phone: 310-418-7250