Provider Demographics
NPI:1477741312
Name:HEALTH CARE USA INCORPORATED
Entity Type:Organization
Organization Name:HEALTH CARE USA INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA LOURDES
Authorized Official - Middle Name:
Authorized Official - Last Name:ESUERTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-679-0541
Mailing Address - Street 1:9933 LAWLER AVE STE 335
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-3783
Mailing Address - Country:US
Mailing Address - Phone:847-679-0541
Mailing Address - Fax:847-679-6206
Practice Address - Street 1:9933 LAWLER AVE STE 335
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-3783
Practice Address - Country:US
Practice Address - Phone:847-679-0541
Practice Address - Fax:847-679-6206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-04
Last Update Date:2017-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1799526251E00000X
IL1011870251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL148083OtherCMS CERTIFICATION NUMBER