Provider Demographics
NPI:1689918559
Name:DEMIRICH INC
Entity Type:Organization
Organization Name:DEMIRICH INC
Other - Org Name:HOME HELPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:RICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:708-254-4456
Mailing Address - Street 1:350 VICTORY DR
Mailing Address - Street 2:# 142
Mailing Address - City:PARK FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60466-2003
Mailing Address - Country:US
Mailing Address - Phone:708-283-0916
Mailing Address - Fax:708-260-9404
Practice Address - Street 1:350 VICTORY DR
Practice Address - Street 2:# 142
Practice Address - City:PARK FOREST
Practice Address - State:IL
Practice Address - Zip Code:60466-2003
Practice Address - Country:US
Practice Address - Phone:708-283-0916
Practice Address - Fax:708-260-9404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-16
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3000400251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health