Provider Demographics
NPI:1568516607
Name:STELLAR HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:STELLAR HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAMA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEEDOO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-583-0921
Mailing Address - Street 1:3530 W PETERSON AVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-3293
Mailing Address - Country:US
Mailing Address - Phone:773-583-0921
Mailing Address - Fax:773-583-0941
Practice Address - Street 1:3530 W PETERSON AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-3293
Practice Address - Country:US
Practice Address - Phone:773-583-0921
Practice Address - Fax:773-583-0941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010603251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health