Provider Demographics
NPI:1730289406
Name:HUMAN TOUCH HOME HEALTH, INC.
Entity Type:Organization
Organization Name:HUMAN TOUCH HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:WILIBORDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:312-633-9191
Mailing Address - Street 1:2720 S RIVER RD STE 148
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60018-4110
Mailing Address - Country:US
Mailing Address - Phone:312-633-9191
Mailing Address - Fax:312-633-9292
Practice Address - Street 1:2720 S. RIVER ROAD SUITE #148
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60018
Practice Address - Country:US
Practice Address - Phone:312-633-9191
Practice Address - Fax:312-633-9292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-23
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010503251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL147891Medicare Oscar/Certification