1871828178 NPI number — INTEGRATED HOMECARE SERVICES CHICAGO CORPORATION

Table of content: (NPI 1871828178)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871828178 NPI number — INTEGRATED HOMECARE SERVICES CHICAGO CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
INTEGRATED HOMECARE SERVICES CHICAGO CORPORATION
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:
1871828178
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/01/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
191 S GARY AVE
Provider Second Line Business Mailing Address:
STE 150
Provider Business Mailing Address City Name:
CAROL STREAM
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60188-2024
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
630-582-0202
Provider Business Mailing Address Fax Number:
630-339-3157

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
700 E OGDEN AVE STE 308
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WESTMONT
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60559-5554
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
630-908-4141
Provider Business Practice Location Address Fax Number:
630-655-4120
Provider Enumeration Date:
10/05/2009

Additional Information

Authorized Official

Authorized Official Last Name:
ARGANTI
Authorized Official First Name:
TODD
Authorized Official Middle Name:
Authorized Official Title or Position:
VP OF OPERATIONS
Authorized Official Telephone Number:
877-426-0202

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BX2000X , with the licence number: 35035943 , 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)





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