Provider Demographics
NPI:1457648891
Name:R.A. CARR CONSULTING INC., D/B/A HOME INSTEAD SENIOR CARE #402
Entity Type:Organization
Organization Name:R.A. CARR CONSULTING INC., D/B/A HOME INSTEAD SENIOR CARE #402
Other - Org Name:HOME INSTEAD SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:
Authorized Official - Last Name:CARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-637-3360
Mailing Address - Street 1:500 E OGDEN AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-3213
Mailing Address - Country:US
Mailing Address - Phone:630-637-3360
Mailing Address - Fax:630-637-3369
Practice Address - Street 1:500 E OGDEN AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-3213
Practice Address - Country:US
Practice Address - Phone:630-637-3360
Practice Address - Fax:630-637-3369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-06
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3000289253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care