Provider Demographics
NPI:1376765073
Name:SAINT THOMAS HOME HEALTH, INC.
Entity Type:Organization
Organization Name:SAINT THOMAS HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:EDITHA SANDEE
Authorized Official - Middle Name:VALENCIA
Authorized Official - Last Name:BARRAMEDA
Authorized Official - Suffix:
Authorized Official - Credentials:RN , BSN
Authorized Official - Phone:773-777-7815
Mailing Address - Street 1:7017 W HIGGINS AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60656-1901
Mailing Address - Country:US
Mailing Address - Phone:773-775-7390
Mailing Address - Fax:773-775-7395
Practice Address - Street 1:7017 W HIGGINS AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60656-1901
Practice Address - Country:US
Practice Address - Phone:773-775-7390
Practice Address - Fax:773-775-7395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2009-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010542251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health