Provider Demographics
NPI:1104178268
Name:ROBINSON SENIOR CARE INC
Entity Type:Organization
Organization Name:ROBINSON SENIOR CARE INC
Other - Org Name:HOME INSTEAD SENIOR CARE #556
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:III
Authorized Official - Credentials:PHD, CSA
Authorized Official - Phone:312-326-1367
Mailing Address - Street 1:3151 S MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60616-3814
Mailing Address - Country:US
Mailing Address - Phone:312-326-1367
Mailing Address - Fax:312-326-1364
Practice Address - Street 1:3151 S MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60616-3814
Practice Address - Country:US
Practice Address - Phone:312-326-1367
Practice Address - Fax:312-326-1364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-12
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3000355253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care