Provider Demographics
NPI:1548397433
Name:COMPANY CARE
Entity Type:Organization
Organization Name:COMPANY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH CARE COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NORAINEE
Authorized Official - Middle Name:JUMAANI
Authorized Official - Last Name:RIVAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-878-8099
Mailing Address - Street 1:2720 W LAWRENCE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-3704
Mailing Address - Country:US
Mailing Address - Phone:773-878-8099
Mailing Address - Fax:773-878-8082
Practice Address - Street 1:2720 W LAWRENCE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625-3704
Practice Address - Country:US
Practice Address - Phone:773-878-8099
Practice Address - Fax:773-878-8082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1769988251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health