Provider Demographics
NPI:1417184540
Name:MOTHER'S TOUCH HOME HEALTH, INC.
Entity Type:Organization
Organization Name:MOTHER'S TOUCH HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:T
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-932-2438
Mailing Address - Street 1:4852 S ASHLAND AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60609-4233
Mailing Address - Country:US
Mailing Address - Phone:773-801-0278
Mailing Address - Fax:773-801-0240
Practice Address - Street 1:4852 S ASHLAND AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60609-4233
Practice Address - Country:US
Practice Address - Phone:773-801-0278
Practice Address - Fax:773-801-0240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-16
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010974251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health