Provider Demographics
NPI:1306398623
Name:HUTCHISON ENTERPRISES, INC
Entity Type:Organization
Organization Name:HUTCHISON ENTERPRISES, INC
Other - Org Name:HOME INSTEAD SENIOR CARE 205
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUTCHISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-690-9825
Mailing Address - Street 1:450 E HIGGINS RD
Mailing Address - Street 2:STE 102
Mailing Address - City:ELK GROVE VILLAGE
Mailing Address - State:IL
Mailing Address - Zip Code:60007-1406
Mailing Address - Country:US
Mailing Address - Phone:847-690-9825
Mailing Address - Fax:
Practice Address - Street 1:450 E HIGGINS RD
Practice Address - Street 2:STE 102
Practice Address - City:ELK GROVE VILLAGE
Practice Address - State:IL
Practice Address - Zip Code:60007-1406
Practice Address - Country:US
Practice Address - Phone:847-690-9825
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-03
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3000242253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care