| Organization Name: | AC PERFORMANCE PRO SYS HEWITT HOME CARE-AC PERF PRO |
| NPI Number: | 1508173535 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CECILY MICHELLE HEWITT (NURSING MANAGER) |
| Mailing Address: | 5135 S Blackstone Ave Apt 200 Chicago |
| State: | IL US |
| Postal Code: | 606156309 |
| Phone Number: | 7736756381 |
| Fax Number: | |
| NPI Enumeration Date: | 09/13/2010 |
| NPI Last Update Date: | 10/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 330483055 |
| 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 |