Provider Demographics
NPI:1376789669
Name:EUROPEAN SERVICE AT HOME INC
Entity Type:Organization
Organization Name:EUROPEAN SERVICE AT HOME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:YAKOVLEVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-202-1249
Mailing Address - Street 1:520 N HICKS RD
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-3607
Mailing Address - Country:US
Mailing Address - Phone:847-202-1249
Mailing Address - Fax:847-202-3266
Practice Address - Street 1:520 N HICKS RD
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-3607
Practice Address - Country:US
Practice Address - Phone:847-202-1249
Practice Address - Fax:847-202-3266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-17
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========002Medicaid