Provider Demographics
NPI:1689779910
Name:FOCUS HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:FOCUS HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:TERRADO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:773-775-7490
Mailing Address - Street 1:5946 N MILWAUKEE AVE
Mailing Address - Street 2:2ND FLR
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60646-5424
Mailing Address - Country:US
Mailing Address - Phone:773-775-7490
Mailing Address - Fax:773-775-7493
Practice Address - Street 1:5946 N MILWAUKEE AVE
Practice Address - Street 2:2ND FLR
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646-5424
Practice Address - Country:US
Practice Address - Phone:773-775-7490
Practice Address - Fax:773-775-7493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010586251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL147947Medicare Oscar/Certification