Provider Demographics
NPI:1326007204
Name:NURSING RESOURCE HOME HEALTH INC
Entity Type:Organization
Organization Name:NURSING RESOURCE HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:FILIPINAS
Authorized Official - Middle Name:R
Authorized Official - Last Name:MADRIAGA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:708-867-4242
Mailing Address - Street 1:4430 N OAK PARK AVE
Mailing Address - Street 2:
Mailing Address - City:HARWOOD HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60656-4836
Mailing Address - Country:US
Mailing Address - Phone:708-867-4242
Mailing Address - Fax:708-867-6486
Practice Address - Street 1:4430 N OAK PARK AVE
Practice Address - Street 2:
Practice Address - City:HARWOOD HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60656-4836
Practice Address - Country:US
Practice Address - Phone:708-867-4242
Practice Address - Fax:708-867-6486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1006097251E00000X
251F00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251E00000XAgenciesHome Health
Not Answered251F00000XAgenciesHome Infusion
Not Answered251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL147597Medicare ID - Type Unspecified