Provider Demographics
NPI:1376987925
Name:CALGARY INC
Entity Type:Organization
Organization Name:CALGARY INC
Other - Org Name:AMERICAN HOPE HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:PROF
Authorized Official - First Name:WILSON
Authorized Official - Middle Name:U
Authorized Official - Last Name:ONYEANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-888-2993
Mailing Address - Street 1:2211 CRABTREE LN
Mailing Address - Street 2:
Mailing Address - City:ALGONQUIN
Mailing Address - State:IL
Mailing Address - Zip Code:60102-4222
Mailing Address - Country:US
Mailing Address - Phone:630-888-2993
Mailing Address - Fax:
Practice Address - Street 1:33 N COUNTY ST
Practice Address - Street 2:SUITE 400K
Practice Address - City:WAUKEGAN
Practice Address - State:IL
Practice Address - Zip Code:60085-4315
Practice Address - Country:US
Practice Address - Phone:630-888-2993
Practice Address - Fax:847-782-9851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-25
Last Update Date:2013-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3000839311Z00000X, 311ZA0620X
IL2011N12873140N1450X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric