Provider Demographics
NPI:1467925339
Name:21 CENTURY HOME CARE,INC.
Entity Type:Organization
Organization Name:21 CENTURY HOME CARE,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOBYLIANSKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-758-1314
Mailing Address - Street 1:4939 LICHFIELD DR
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60010-5615
Mailing Address - Country:US
Mailing Address - Phone:312-758-1314
Mailing Address - Fax:
Practice Address - Street 1:800 E NORTHWEST HWY STE 717
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60074-6519
Practice Address - Country:US
Practice Address - Phone:224-330-2323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-03
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty