Provider Demographics
NPI:1609040690
Name:CAREIUM HOME HEALTH CORPORATION
Entity Type:Organization
Organization Name:CAREIUM HOME HEALTH CORPORATION
Other - Org Name:D & D HOME HEALTHCARE, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:YOO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-484-5570
Mailing Address - Street 1:101 ROYCE RD STE 4
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-1429
Mailing Address - Country:US
Mailing Address - Phone:630-759-3422
Mailing Address - Fax:630-929-7515
Practice Address - Street 1:101 ROYCE RD STE 4
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60440-1429
Practice Address - Country:US
Practice Address - Phone:630-759-3422
Practice Address - Fax:630-929-7515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-21
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILIL1010843OtherSTATE LICENSE ISSUED BY IDPH