Provider Demographics
NPI:1366628307
Name:ACHIEVE HEALTH CARE SERVICES, INC.
Entity Type:Organization
Organization Name:ACHIEVE HEALTH CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LIMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SAGADRACA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-728-2800
Mailing Address - Street 1:5700 NORTH LINCOLN AVENUE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-4731
Mailing Address - Country:US
Mailing Address - Phone:773-728-2800
Mailing Address - Fax:773-728-2882
Practice Address - Street 1:5700 NORTH LINCOLN AVENUE
Practice Address - Street 2:SUITE 220
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-4731
Practice Address - Country:US
Practice Address - Phone:773-728-2800
Practice Address - Fax:773-728-2882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-19
Last Update Date:2017-05-16
Deactivation Date:2016-10-17
Deactivation Code:
Reactivation Date:2017-05-16
Provider Licenses
StateLicense IDTaxonomies
IL1010722251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health