Organization Name: | SENIORBRIDGE FAMILY COMPANIES (IL), INC |
NPI Number: | 1720368392 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERIC RACKOW (PRESIDENT AND CEO) |
Mailing Address: | 790 W Frontage Rd Suite 202 Northfield |
State: | IL US |
Postal Code: | 600931204 |
Phone Number: | 8474414388 |
Fax Number: | |
NPI Enumeration Date: | 08/26/2011 |
NPI Last Update Date: | 05/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |