Provider Demographics
NPI:1619340122
Name:AURORA HOME CARE INC
Entity Type:Organization
Organization Name:AURORA HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SOPHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FUNKENSHTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-559-1222
Mailing Address - Street 1:2970 MARIA AVE
Mailing Address - Street 2:STE 210
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-2017
Mailing Address - Country:US
Mailing Address - Phone:847-559-1222
Mailing Address - Fax:
Practice Address - Street 1:2970 MARIA AVE
Practice Address - Street 2:STE 210
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-2017
Practice Address - Country:US
Practice Address - Phone:847-559-1222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-05
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL201500010C171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL201500010COtherSTATE LICENSE