Provider Demographics
NPI:1275653826
Name:MULTICARE HOME HEALTH
Entity Type:Organization
Organization Name:MULTICARE HOME HEALTH
Other - Org Name:AAA OXYGEN HOME MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:MR
Authorized Official - First Name:K.
Authorized Official - Middle Name:BASHEER
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:BS, RRT,CPFT, RCP
Authorized Official - Phone:847-877-1601
Mailing Address - Street 1:346 E IRVING PARK RD
Mailing Address - Street 2:
Mailing Address - City:WOOD DALE
Mailing Address - State:IL
Mailing Address - Zip Code:60191-1679
Mailing Address - Country:US
Mailing Address - Phone:847-877-1601
Mailing Address - Fax:773-775-7083
Practice Address - Street 1:346 E IRVING PARK RD
Practice Address - Street 2:
Practice Address - City:WOOD DALE
Practice Address - State:IL
Practice Address - Zip Code:60191-1679
Practice Address - Country:US
Practice Address - Phone:847-877-1601
Practice Address - Fax:773-775-7083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL203.000540332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0001670748OtherBCBSIL-DME
IL0001670748OtherBCBSIL-DME
IL0215410001Medicare NSC