Provider Demographics
NPI:1013225788
Name:ADVOCATE HOME HEALTH CARE AND WELLNESS COUNCIL, INC.
Entity Type:Organization
Organization Name:ADVOCATE HOME HEALTH CARE AND WELLNESS COUNCIL, INC.
Other - Org Name:ADVOCATE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LOLITA
Authorized Official - Middle Name:INEZ
Authorized Official - Last Name:HAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:BA DEGREE
Authorized Official - Phone:708-617-8871
Mailing Address - Street 1:18430 S HALSTED ST
Mailing Address - Street 2:202
Mailing Address - City:GLENWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60425-1013
Mailing Address - Country:US
Mailing Address - Phone:708-617-8871
Mailing Address - Fax:
Practice Address - Street 1:18430 S HALSTED ST
Practice Address - Street 2:202
Practice Address - City:GLENWOOD
Practice Address - State:IL
Practice Address - Zip Code:60425-1013
Practice Address - Country:US
Practice Address - Phone:708-617-8871
Practice Address - Fax:708-617-8871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-16
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health