Provider Demographics
NPI:1245739168
Name:ENHAUS CARE INC
Entity Type:Organization
Organization Name:ENHAUS CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:LERIGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-364-4287
Mailing Address - Street 1:70 MEADOWVIEW CTR STE 402
Mailing Address - Street 2:
Mailing Address - City:KANKAKEE
Mailing Address - State:IL
Mailing Address - Zip Code:60901-2061
Mailing Address - Country:US
Mailing Address - Phone:855-364-2878
Mailing Address - Fax:815-401-7629
Practice Address - Street 1:70 MEADOWVIEW CTR STE 402
Practice Address - Street 2:
Practice Address - City:KANKAKEE
Practice Address - State:IL
Practice Address - Zip Code:60901-2061
Practice Address - Country:US
Practice Address - Phone:855-364-2878
Practice Address - Fax:815-401-7629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-06
Last Update Date:2018-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3001576253Z00000X, 343900000X, 347B00000X, 347C00000X, 347E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347B00000XTransportation ServicesBus
No347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker