Provider Demographics
NPI:1114994662
Name:ADVOCATE HOME CARE PRODUCTS, INC
Entity Type:Organization
Organization Name:ADVOCATE HOME CARE PRODUCTS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:KEEFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-368-5907
Mailing Address - Street 1:2311 W 22ND ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1225
Mailing Address - Country:US
Mailing Address - Phone:630-572-1232
Mailing Address - Fax:630-368-5912
Practice Address - Street 1:10055 S 76TH AVE
Practice Address - Street 2:
Practice Address - City:BRIDGEVIEW
Practice Address - State:IL
Practice Address - Zip Code:60455-2443
Practice Address - Country:US
Practice Address - Phone:708-233-3850
Practice Address - Fax:708-430-4799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-03
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1617625OtherBLUE CROSS BLUE SHIELD IL
IL=========003Medicaid
IL=========003Medicaid