Provider Demographics
NPI:1114709987
Name:MERITCARE HOME HEALTH INC
Entity Type:Organization
Organization Name:MERITCARE HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BEDE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARAVILLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-534-7462
Mailing Address - Street 1:4830 W JARLATH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712-1616
Mailing Address - Country:US
Mailing Address - Phone:773-939-6190
Mailing Address - Fax:224-534-7459
Practice Address - Street 1:4830 W JARLATH ST
Practice Address - Street 2:
Practice Address - City:LINCOLNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60712-1616
Practice Address - Country:US
Practice Address - Phone:773-939-6190
Practice Address - Fax:224-534-7459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health