Provider Demographics
NPI:1235209446
Name:CARING PROFESSIONALS HOME CARE, INC.
Entity Type:Organization
Organization Name:CARING PROFESSIONALS HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-588-5700
Mailing Address - Street 1:3450-3456 W. PETERSON AVENUE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-3310
Mailing Address - Country:US
Mailing Address - Phone:773-588-5700
Mailing Address - Fax:773-588-3100
Practice Address - Street 1:3450-3456 W. PETERSON AVENUE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-3310
Practice Address - Country:US
Practice Address - Phone:773-588-5700
Practice Address - Fax:773-588-3100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========0001Medicaid
IL1235209446Medicare PIN