Provider Demographics
NPI:1093205874
Name:QUALITY IN HOME CARE LLC
Entity Type:Organization
Organization Name:QUALITY IN HOME CARE LLC
Other - Org Name:COMFORCARE HEALTH CARE-S.LAKE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARTOSZ
Authorized Official - Middle Name:
Authorized Official - Last Name:BALAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-505-9617
Mailing Address - Street 1:1207 MCHENRY RD STE 218A
Mailing Address - Street 2:
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-1371
Mailing Address - Country:US
Mailing Address - Phone:773-505-9617
Mailing Address - Fax:
Practice Address - Street 1:1207 MCHENRY RD STE 218A
Practice Address - Street 2:
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-1371
Practice Address - Country:US
Practice Address - Phone:773-505-9617
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-16
Last Update Date:2018-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3001696253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care