Provider Demographics
NPI:1689906984
Name:AEGIS HOMEHEALTHCARE INC
Entity Type:Organization
Organization Name:AEGIS HOMEHEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JALIHA
Authorized Official - Middle Name:J
Authorized Official - Last Name:SAHAC
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:773-910-9983
Mailing Address - Street 1:4751 N NAGLE AVE
Mailing Address - Street 2:
Mailing Address - City:HARWOOD HTS
Mailing Address - State:IL
Mailing Address - Zip Code:60706-7437
Mailing Address - Country:US
Mailing Address - Phone:773-910-9983
Mailing Address - Fax:
Practice Address - Street 1:4751 N NAGLE AVE
Practice Address - Street 2:
Practice Address - City:HARWOOD HTS
Practice Address - State:IL
Practice Address - Zip Code:60706-7437
Practice Address - Country:US
Practice Address - Phone:773-910-9983
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-11
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010967251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health