Provider Demographics
NPI:1437385218
Name:M.E.D.MIDWEST CARE HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:M.E.D.MIDWEST CARE HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MANELITA
Authorized Official - Middle Name:PRESTO
Authorized Official - Last Name:DAYON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:708-474-6770
Mailing Address - Street 1:2685 W 85TH AVE
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-6165
Mailing Address - Country:US
Mailing Address - Phone:219-738-2704
Mailing Address - Fax:
Practice Address - Street 1:2535 BERNICE RD
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:IL
Practice Address - Zip Code:60438-1025
Practice Address - Country:US
Practice Address - Phone:708-474-6770
Practice Address - Fax:708-474-6747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-07
Last Update Date:2009-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health