Provider Demographics
NPI:1639802093
Name:DEAF WELCOME HOME CARE LLC
Entity Type:Organization
Organization Name:DEAF WELCOME HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THERESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUBOIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:331-472-7294
Mailing Address - Street 1:195 FOX VALLEY CTR STE E-17
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-4106
Mailing Address - Country:US
Mailing Address - Phone:331-472-7294
Mailing Address - Fax:
Practice Address - Street 1:195 FOX VALLEY CTR STE E-17
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-4106
Practice Address - Country:US
Practice Address - Phone:331-472-7294
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-05
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care