Provider Demographics
NPI:1083921290
Name:NURSECAREPLUS HOME HEALTHCARE CORP.
Entity Type:Organization
Organization Name:NURSECAREPLUS HOME HEALTHCARE CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FLORENCIO
Authorized Official - Middle Name:MUNAR
Authorized Official - Last Name:SERAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-822-4448
Mailing Address - Street 1:2172 OAKDALE CIR
Mailing Address - Street 2:
Mailing Address - City:HANOVER PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60133-8802
Mailing Address - Country:US
Mailing Address - Phone:170-882-2448
Mailing Address - Fax:
Practice Address - Street 1:2172 OAKDALE CIR
Practice Address - Street 2:
Practice Address - City:HANOVER PARK
Practice Address - State:IL
Practice Address - Zip Code:60133-8802
Practice Address - Country:US
Practice Address - Phone:170-882-2444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-09
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILNEW APPLICATION251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILNEW APPLICATIONOtherMEDICARE NEW APPLICATION