Provider Demographics
NPI:1376258541
Name:GRACETOUCH HOME CARE SERVICES
Entity Type:Organization
Organization Name:GRACETOUCH HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MUTIAT
Authorized Official - Middle Name:
Authorized Official - Last Name:KUFORIJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-629-9754
Mailing Address - Street 1:19900 GOVERNORS DR STE 300S
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA FIELDS
Mailing Address - State:IL
Mailing Address - Zip Code:60461-1059
Mailing Address - Country:US
Mailing Address - Phone:708-515-9686
Mailing Address - Fax:708-898-0595
Practice Address - Street 1:19900 GOVERNORS DR STE 300S
Practice Address - Street 2:
Practice Address - City:OLYMPIA FIELDS
Practice Address - State:IL
Practice Address - Zip Code:60461-1059
Practice Address - Country:US
Practice Address - Phone:708-515-9686
Practice Address - Fax:708-898-0595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-20
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care