Organization Name: | CHICAGOLAND HOMECARE, INC |
NPI Number: | 1073999876 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRETT CHAVERIAT (PRESIDENT) |
Mailing Address: | 906 W Northwest Hwy Arlington Heights |
State: | IL US |
Postal Code: | 600045345 |
Phone Number: | 8477494542 |
Fax Number: | 8473784542 |
NPI Enumeration Date: | 08/04/2015 |
NPI Last Update Date: | 08/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 3000723 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |