Provider Demographics
NPI:1346402708
Name:REGAL HOME HEALTHCARE, INC.
Entity Type:Organization
Organization Name:REGAL HOME HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:CHALOKWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-963-1859
Mailing Address - Street 1:8205 CASS AVE STE 108B
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:IL
Mailing Address - Zip Code:60561-5319
Mailing Address - Country:US
Mailing Address - Phone:630-963-1859
Mailing Address - Fax:630-963-3521
Practice Address - Street 1:8205 CASS AVE STE 108B
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:IL
Practice Address - Zip Code:60561-5319
Practice Address - Country:US
Practice Address - Phone:630-963-1859
Practice Address - Fax:630-963-3521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-26
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010744251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1010744OtherSTATE OF ILLINOIS DEPARTMENT OF PUBLIC HEALTH