| Organization Name: | HEALTHAID HOME CARE LLC |
| NPI Number: | 1093021792 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAREN PIERCE (PRESIDENT) |
| Mailing Address: | 220 Lake Gillilan Way Algonquin |
| State: | IL US |
| Postal Code: | 601025015 |
| Phone Number: | 6307450414 |
| Fax Number: | 2063508530 |
| NPI Enumeration Date: | 08/19/2010 |
| NPI Last Update Date: | 08/19/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | 044.310672 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |