Provider Demographics
NPI:1295967560
Name:FIRST VENTURE HOME HEALTHCARE, INC.
Entity type:Organization
Organization Name:FIRST VENTURE HOME HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EROL
Authorized Official - Middle Name:
Authorized Official - Last Name:STAPLETON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-506-9767
Mailing Address - Street 1:1016 W LAKE ST # 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-1715
Mailing Address - Country:US
Mailing Address - Phone:847-506-9767
Mailing Address - Fax:847-506-9769
Practice Address - Street 1:1016 W LAKE ST # 2
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60607-1715
Practice Address - Country:US
Practice Address - Phone:847-506-9767
Practice Address - Fax:847-506-9769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-19
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1011050251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health