Provider Demographics
NPI:1114255759
Name:NURTURE CARE HOME HEALTH INC.
Entity Type:Organization
Organization Name:NURTURE CARE HOME HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZEENAT
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHAMMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-770-0684
Mailing Address - Street 1:8707 SKOKIE BLVD STE 205
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-5459
Mailing Address - Country:US
Mailing Address - Phone:847-285-1802
Mailing Address - Fax:847-466-7249
Practice Address - Street 1:8707 SKOKIE BLVD STE 205
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-5459
Practice Address - Country:US
Practice Address - Phone:847-285-1802
Practice Address - Fax:847-466-7249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-19
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1011034251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1011034OtherHOME HEALTH LICENSE
IL148254Medicare Oscar/Certification