Provider Demographics
NPI:1396369831
Name:KAREN'S HOME CARE AGENCY
Entity Type:Organization
Organization Name:KAREN'S HOME CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARE COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:E
Authorized Official - Last Name:ALMODOVAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-420-1118
Mailing Address - Street 1:601 E END AVE
Mailing Address - Street 2:
Mailing Address - City:HILLSIDE
Mailing Address - State:IL
Mailing Address - Zip Code:60162-1035
Mailing Address - Country:US
Mailing Address - Phone:708-420-1118
Mailing Address - Fax:
Practice Address - Street 1:601 E END AVE
Practice Address - Street 2:
Practice Address - City:HILLSIDE
Practice Address - State:IL
Practice Address - Zip Code:60162-1035
Practice Address - Country:US
Practice Address - Phone:708-420-1118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-01
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care