Provider Demographics
NPI:1326224551
Name:THE HOMECARE WAREHOUSE
Entity Type:Organization
Organization Name:THE HOMECARE WAREHOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBERTA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-745-5497
Mailing Address - Street 1:10481 164TH PL
Mailing Address - Street 2:SUITE B
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467-5438
Mailing Address - Country:US
Mailing Address - Phone:708-745-5497
Mailing Address - Fax:708-745-5503
Practice Address - Street 1:10481 164TH PL
Practice Address - Street 2:SUITE B
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-5438
Practice Address - Country:US
Practice Address - Phone:708-745-5497
Practice Address - Fax:708-745-5503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-17
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies