Provider Demographics
NPI:1679229736
Name:A1 HOME CARE SERVICES
Entity Type:Organization
Organization Name:A1 HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:OLUSOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-715-7440
Mailing Address - Street 1:18337 LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:IL
Mailing Address - Zip Code:60438-2514
Mailing Address - Country:US
Mailing Address - Phone:708-715-7440
Mailing Address - Fax:708-469-1623
Practice Address - Street 1:18337 LOCUST ST
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:IL
Practice Address - Zip Code:60438-2514
Practice Address - Country:US
Practice Address - Phone:708-715-7440
Practice Address - Fax:708-469-1623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-28
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care