Provider Demographics
NPI:1619072717
Name:EVER CARING HOME HEALTH NURSING AGENCY, INC
Entity Type:Organization
Organization Name:EVER CARING HOME HEALTH NURSING AGENCY, INC
Other - Org Name:EVER CARING HOME HEALTH, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:YAGUE
Authorized Official - Last Name:SANTIAGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-794-3446
Mailing Address - Street 1:3939 N WILKE RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-1275
Mailing Address - Country:US
Mailing Address - Phone:773-794-3446
Mailing Address - Fax:773-794-3544
Practice Address - Street 1:3939 N WILKE RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-1275
Practice Address - Country:US
Practice Address - Phone:773-794-3446
Practice Address - Fax:773-794-3544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010671251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL14-7896Medicare ID - Type UnspecifiedPROVIDER NUMBER