Provider Demographics
NPI:1235237629
Name:EVANGEL HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:EVANGEL HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORELIE
Authorized Official - Middle Name:SAGADRACA
Authorized Official - Last Name:PARADERO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:224-500-3311
Mailing Address - Street 1:2040 E ALGONQUIN RD STE 512
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-4160
Mailing Address - Country:US
Mailing Address - Phone:224-500-3311
Mailing Address - Fax:224-500-3335
Practice Address - Street 1:4001 W DEVON AVE STE 410
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646-4539
Practice Address - Country:US
Practice Address - Phone:773-202-5008
Practice Address - Fax:773-202-5028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010608251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL147944Medicare Oscar/Certification