1083957104 NPI number — CURE HOME CARE SERVICES, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083957104 NPI number — CURE HOME CARE SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CURE HOME CARE SERVICES, 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:
6
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:
1083957104
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/27/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
29W701 BUTTERFIELD RD
Provider Second Line Business Mailing Address:
SUITE 202
Provider Business Mailing Address City Name:
WARRENVILLE
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60555-3604
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
630-836-9977
Provider Business Mailing Address Fax Number:
630-836-9988

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
29W701 BUTTERFIELD RD
Provider Second Line Business Practice Location Address:
SUITE 202
Provider Business Practice Location Address City Name:
WARRENVILLE
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60555-3604
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
630-836-9977
Provider Business Practice Location Address Fax Number:
630-836-9988
Provider Enumeration Date:
03/27/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MOLLA
Authorized Official First Name:
ABUL
Authorized Official Middle Name:
KHALED
Authorized Official Title or Position:
PRESIDENT/OWNER
Authorized Official Telephone Number:
630-836-9977

Provider Taxonomy Codes

  • Taxonomy code: 253Z00000X , with the licence number:  3000190 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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