Provider Demographics
NPI:1225348501
Name:CEM HOME HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:CEM HOME HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:EVANGELINE
Authorized Official - Middle Name:S
Authorized Official - Last Name:MONDANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-374-2847
Mailing Address - Street 1:3800 W 139TH ST
Mailing Address - Street 2:
Mailing Address - City:ROBBINS
Mailing Address - State:IL
Mailing Address - Zip Code:60472-1804
Mailing Address - Country:US
Mailing Address - Phone:708-374-2847
Mailing Address - Fax:
Practice Address - Street 1:3800 W 139TH ST
Practice Address - Street 2:
Practice Address - City:ROBBINS
Practice Address - State:IL
Practice Address - Zip Code:60472-1804
Practice Address - Country:US
Practice Address - Phone:708-374-2847
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-20
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health