Provider Demographics
NPI:1669851465
Name:NOVACARE SERVICES
Entity Type:Organization
Organization Name:NOVACARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:NWAFOR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:708-953-1476
Mailing Address - Street 1:10001 DERBY LANE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WESTCHESTER
Mailing Address - State:IL
Mailing Address - Zip Code:60154-3749
Mailing Address - Country:US
Mailing Address - Phone:708-223-4667
Mailing Address - Fax:708-223-4190
Practice Address - Street 1:10001 DERBY LN
Practice Address - Street 2:SUITE 201
Practice Address - City:WESTCHESTER
Practice Address - State:IL
Practice Address - Zip Code:60154-3749
Practice Address - Country:US
Practice Address - Phone:708-655-4573
Practice Address - Fax:708-223-4190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-26
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL4000463251J00000X
IL3000991253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care