Provider Demographics
NPI:1710272273
Name:S & S HOMECARE DBA COMFORTKEEPERS
Entity Type:Organization
Organization Name:S & S HOMECARE DBA COMFORTKEEPERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SYDNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:708-598-1900
Mailing Address - Street 1:9838 S ROBERTS RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:PALOS HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60465-1473
Mailing Address - Country:US
Mailing Address - Phone:708-598-1900
Mailing Address - Fax:708-598-8650
Practice Address - Street 1:9838 S ROBERTS RD
Practice Address - Street 2:SUITE 4
Practice Address - City:PALOS HILLS
Practice Address - State:IL
Practice Address - Zip Code:60465-1473
Practice Address - Country:US
Practice Address - Phone:708-598-1900
Practice Address - Fax:708-598-8650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-13
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL4000260251J00000X
IL3000148253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care