Provider Demographics
NPI:1508119975
Name:AMERICARE HOME HEALTH, LLC
Entity Type:Organization
Organization Name:AMERICARE HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-675-4640
Mailing Address - Street 1:6600 N LINCOLN AVE
Mailing Address - Street 2:#417
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712-3620
Mailing Address - Country:US
Mailing Address - Phone:847-675-4640
Mailing Address - Fax:847-675-4642
Practice Address - Street 1:6600 N LINCOLN AVE
Practice Address - Street 2:#417
Practice Address - City:LINCOLNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60712-3620
Practice Address - Country:US
Practice Address - Phone:847-675-4640
Practice Address - Fax:847-675-4642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-22
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010486251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health