Provider Demographics
NPI:1760905582
Name:HOME CARE SERVICES OF ILLINOIS
Entity Type:Organization
Organization Name:HOME CARE SERVICES OF ILLINOIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOOKKEEPER
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:SAPLALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-795-8535
Mailing Address - Street 1:1974 MINER ST RM 102
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-4714
Mailing Address - Country:US
Mailing Address - Phone:847-795-8535
Mailing Address - Fax:847-795-8534
Practice Address - Street 1:1974 MINER ST RM 102
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-4714
Practice Address - Country:US
Practice Address - Phone:847-795-8535
Practice Address - Fax:847-795-8534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3000367253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care