| Organization Name: | NORTHSHORE HOME CARE, LLC |
| NPI Number: | 1447648720 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JERALD YANG (AGENCY MANAGER) |
| Mailing Address: | 2504 Washington Street Suite 502-a Waukegan |
| State: | IL US |
| Postal Code: | 600854998 |
| Phone Number: | 8477828890 |
| Fax Number: | 8477828805 |
| NPI Enumeration Date: | 01/08/2015 |
| NPI Last Update Date: | 01/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 3001195 |
| 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 |