Provider Demographics
NPI:1083714315
Name:SPS HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:SPS HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:PHILIDOR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:847-673-9940
Mailing Address - Street 1:8427 CRAWFORD AVE
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-2120
Mailing Address - Country:US
Mailing Address - Phone:847-673-9940
Mailing Address - Fax:847-673-9946
Practice Address - Street 1:8427 CRAWFORD AVE
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-2120
Practice Address - Country:US
Practice Address - Phone:847-673-9940
Practice Address - Fax:847-673-9946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL147942Medicare ID - Type Unspecified