Provider Demographics
NPI:1427599869
Name:GYC SENIOR CARE HOMES INC.
Entity Type:Organization
Organization Name:GYC SENIOR CARE HOMES INC.
Other - Org Name:GYC SENIOR CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:YASSINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEKKOURI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-363-7723
Mailing Address - Street 1:5862 N LINCOLN AVE
Mailing Address - Street 2:C2 SUITE 4
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-4625
Mailing Address - Country:US
Mailing Address - Phone:847-410-2126
Mailing Address - Fax:847-972-0063
Practice Address - Street 1:9632 LARAMIE AVE
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-1262
Practice Address - Country:US
Practice Address - Phone:312-363-7723
Practice Address - Fax:847-972-0063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-18
Last Update Date:2017-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3001129253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care