Provider Demographics
NPI:1093025694
Name:CLASSIC HOMECARE SERVICES INC
Entity Type:Organization
Organization Name:CLASSIC HOMECARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:ATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-240-3719
Mailing Address - Street 1:129 FAIRFIELD WAY STE 100
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60108-1510
Mailing Address - Country:US
Mailing Address - Phone:630-240-3719
Mailing Address - Fax:224-432-6072
Practice Address - Street 1:129 FAIRFIELD WAY STE 100
Practice Address - Street 2:
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-1510
Practice Address - Country:US
Practice Address - Phone:630-240-3719
Practice Address - Fax:224-432-6072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-15
Last Update Date:2022-10-26
Deactivation Date:2020-06-09
Deactivation Code:
Reactivation Date:2020-11-18
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies