Provider Demographics
NPI:1366651077
Name:SUNNY HILL HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:SUNNY HILL HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:INGRID
Authorized Official - Middle Name:
Authorized Official - Last Name:IZURIETA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-424-7025
Mailing Address - Street 1:10220 S CICERO AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-4086
Mailing Address - Country:US
Mailing Address - Phone:708-424-7025
Mailing Address - Fax:708-424-8003
Practice Address - Street 1:4632 W 105TH PL
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-5210
Practice Address - Country:US
Practice Address - Phone:708-424-7025
Practice Address - Fax:708-424-8003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health