Provider Demographics
NPI:1033858329
Name:FORWARD HOMECARE LLC
Entity Type:Organization
Organization Name:FORWARD HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:XIAOJING
Authorized Official - Middle Name:
Authorized Official - Last Name:CUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-358-1251
Mailing Address - Street 1:2734 S WENTWORTH AVE APT 501
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60616-4709
Mailing Address - Country:US
Mailing Address - Phone:312-358-1251
Mailing Address - Fax:
Practice Address - Street 1:2734 S WENTWORTH AVE APT 501
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60616-4709
Practice Address - Country:US
Practice Address - Phone:312-351-1251
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-03
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care