1326611294 NPI number — ONE COMPASSIONATE HOME CARE INC

Table of content: (NPI 1326611294)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326611294 NPI number — ONE COMPASSIONATE HOME CARE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ONE COMPASSIONATE HOME CARE INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326611294
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/20/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5708 CAROL AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MORTON GROVE
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60053-3036
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
847-989-7701
Provider Business Mailing Address Fax Number:
847-713-4858

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7132 N HARLEM AVE STE 101
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60631-1086
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
224-436-3044
Provider Business Practice Location Address Fax Number:
847-715-4858
Provider Enumeration Date:
07/20/2021

Additional Information

Authorized Official

Authorized Official Last Name:
VILORIA
Authorized Official First Name:
CRISTINA
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR FOR OPERATIONS
Authorized Official Telephone Number:
224-436-3044

Provider Taxonomy Codes

  • Taxonomy code: 251J00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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