Provider Demographics
NPI:1508097262
Name:ALL CARE HOMEHEALTH AGENCY, INC.
Entity Type:Organization
Organization Name:ALL CARE HOMEHEALTH AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHONIE
Authorized Official - Middle Name:V
Authorized Official - Last Name:PANCHO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-854-6098
Mailing Address - Street 1:464 MAJOR DR
Mailing Address - Street 2:
Mailing Address - City:NORTHLAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60164-1821
Mailing Address - Country:US
Mailing Address - Phone:630-854-6098
Mailing Address - Fax:
Practice Address - Street 1:464 MAJOR DR
Practice Address - Street 2:
Practice Address - City:NORTHLAKE
Practice Address - State:IL
Practice Address - Zip Code:60164-1821
Practice Address - Country:US
Practice Address - Phone:630-854-6098
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-29
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3000523251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health