Provider Demographics
NPI:1639377138
Name:SCI HOME HEALTH, INC.
Entity Type:Organization
Organization Name:SCI HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MA LOURDES
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES CELICIOUS
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:847-244-6444
Mailing Address - Street 1:1800 NATIONS DRIVE
Mailing Address - Street 2:SUITE 216
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-9174
Mailing Address - Country:US
Mailing Address - Phone:847-244-6444
Mailing Address - Fax:847-782-9997
Practice Address - Street 1:1800 NATIONS DR
Practice Address - Street 2:SUITE 216
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-9174
Practice Address - Country:US
Practice Address - Phone:847-244-6444
Practice Address - Fax:847-782-9997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-05
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILUNDER PROCESS251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health