Provider Demographics
NPI:1598069361
Name:MONARCH HOME CARE, INC.
Entity Type:Organization
Organization Name:MONARCH HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FAITH
Authorized Official - Middle Name:N
Authorized Official - Last Name:OSEMWENGIE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:773-531-2524
Mailing Address - Street 1:12757 WESTERN AVE
Mailing Address - Street 2:SUITE 113
Mailing Address - City:BLUE ISLAND
Mailing Address - State:IL
Mailing Address - Zip Code:60406-2155
Mailing Address - Country:US
Mailing Address - Phone:708-629-0601
Mailing Address - Fax:708-629-0602
Practice Address - Street 1:12757 WESTERN AVE
Practice Address - Street 2:SUITE 113
Practice Address - City:BLUE ISLAND
Practice Address - State:IL
Practice Address - Zip Code:60406-2155
Practice Address - Country:US
Practice Address - Phone:708-629-0601
Practice Address - Fax:708-629-0602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-07
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1011136251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health