Provider Demographics
NPI:1609293653
Name:IGOCARE, INC
Entity Type:Organization
Organization Name:IGOCARE, INC
Other - Org Name:RIGHT AT HOME NORTH SHORE/CHICAGO METRO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER, OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:LANTRY
Authorized Official - Suffix:
Authorized Official - Credentials:NCC, MT-BC, NMT
Authorized Official - Phone:773-775-4677
Mailing Address - Street 1:6352 N LINCOLN AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-1213
Mailing Address - Country:US
Mailing Address - Phone:773-775-4677
Mailing Address - Fax:773-775-4687
Practice Address - Street 1:6352 N LINCOLN AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-1213
Practice Address - Country:US
Practice Address - Phone:773-775-4677
Practice Address - Fax:773-775-4687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-27
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3001019253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care