Provider Demographics
NPI:1518123785
Name:NETT HANDS HOME CARE, INC.
Entity Type:Organization
Organization Name:NETT HANDS HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BERNADETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:BERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-991-7105
Mailing Address - Street 1:18227 HARWOOD AVE
Mailing Address - Street 2:2ND FLOOR UNIT #1
Mailing Address - City:HOMEWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60430-2127
Mailing Address - Country:US
Mailing Address - Phone:708-991-7105
Mailing Address - Fax:708-960-4223
Practice Address - Street 1:18227 HARWOOD AVE
Practice Address - Street 2:2ND FLOOR UNIT #1
Practice Address - City:HOMEWOOD
Practice Address - State:IL
Practice Address - Zip Code:60430-2127
Practice Address - Country:US
Practice Address - Phone:708-991-7105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-06
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010766251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health