Organization Name: | CARE AT HOME |
NPI Number: | 1669743100 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AGNES COLLIER (CEO) |
Mailing Address: | 7115 S Sawyer Ave Chicago |
State: | IL US |
Postal Code: | 606293535 |
Phone Number: | 7739803268 |
Fax Number: | 7737785433 |
NPI Enumeration Date: | 01/13/2012 |
NPI Last Update Date: | 01/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 2129082 |
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 |