Provider Demographics
NPI:1235373655
Name:ONDEMAND HOME HEALTHCARE, LLC
Entity Type:Organization
Organization Name:ONDEMAND HOME HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:J
Authorized Official - Last Name:MELLIJOR
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:847-378-8839
Mailing Address - Street 1:2300 E. HIGGINS ROAD
Mailing Address - Street 2:STE.221
Mailing Address - City:ELK GROVE VILLAGE
Mailing Address - State:IL
Mailing Address - Zip Code:60007
Mailing Address - Country:US
Mailing Address - Phone:847-378-8839
Mailing Address - Fax:847-378-8840
Practice Address - Street 1:2300 E HIGGINS RD
Practice Address - Street 2:STE.221
Practice Address - City:ELK GROVE VILLAGE
Practice Address - State:IL
Practice Address - Zip Code:60007-2632
Practice Address - Country:US
Practice Address - Phone:847-378-8839
Practice Address - Fax:847-378-8840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-29
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health