Provider Demographics
NPI:1033836945
Name:CARE FOR LIFE HOME NURSING INC
Entity Type:Organization
Organization Name:CARE FOR LIFE HOME NURSING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:PACHECO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-214-3633
Mailing Address - Street 1:182 MELROSE AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:SOUTH ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60177-1646
Mailing Address - Country:US
Mailing Address - Phone:847-214-3633
Mailing Address - Fax:847-214-3634
Practice Address - Street 1:182 MELROSE AVE STE 1
Practice Address - Street 2:
Practice Address - City:SOUTH ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60177-1646
Practice Address - Country:US
Practice Address - Phone:847-214-3633
Practice Address - Fax:847-214-3634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-21
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care