Provider Demographics
NPI:1093930059
Name:AMERICAN RESIDENTIAL CARE,INC
Entity Type:Organization
Organization Name:AMERICAN RESIDENTIAL CARE,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MANIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA,MSW
Authorized Official - Phone:630-339-5100
Mailing Address - Street 1:850 E HIGGINS RD
Mailing Address - Street 2:SUITE # 125 - J
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-5142
Mailing Address - Country:US
Mailing Address - Phone:630-330-5100
Mailing Address - Fax:847-517-1193
Practice Address - Street 1:850 E HIGGINS RD
Practice Address - Street 2:SUITE # 125 - J
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-5142
Practice Address - Country:US
Practice Address - Phone:630-330-5100
Practice Address - Fax:847-517-1193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL95C006315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL95C006OtherDEPT. HUMAN SERVICES