Provider Demographics
NPI:1205406667
Name:SPECIAL HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:SPECIAL HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT/AGENCY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:WOROOD
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-262-0562
Mailing Address - Street 1:1600 PLAINFIELD RD
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-1902
Mailing Address - Country:US
Mailing Address - Phone:708-293-8800
Mailing Address - Fax:
Practice Address - Street 1:13303 S RIDGELAND AVE
Practice Address - Street 2:UNIT C RM 1
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463
Practice Address - Country:US
Practice Address - Phone:708-293-8800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-29
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care