Provider Demographics
NPI:1467733741
Name:1 STOP HOMEMAKER SERVICES, LLC.
Entity Type:Organization
Organization Name:1 STOP HOMEMAKER SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA ANTONIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CABRERA
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN
Authorized Official - Phone:847-644-4336
Mailing Address - Street 1:9933 LAWLER AVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-3703
Mailing Address - Country:US
Mailing Address - Phone:847-644-4336
Mailing Address - Fax:847-257-0231
Practice Address - Street 1:9933 LAWLER AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-3703
Practice Address - Country:US
Practice Address - Phone:847-644-4336
Practice Address - Fax:847-257-0231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-31
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3000709253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL13303400OtherDEPARTMENT OF HUMAN SERVICES
IL3000709OtherPUBLIC HEALTH