Provider Demographics
NPI:1790857001
Name:ENTERA HEALTHCARE LTD
Entity Type:Organization
Organization Name:ENTERA HEALTHCARE LTD
Other - Org Name:ENTERA HEALTHCARE, LTD.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENTADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROLANDO
Authorized Official - Middle Name:G
Authorized Official - Last Name:ARROJO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:847-324-5550
Mailing Address - Street 1:10400 W HIGGINS ROAD
Mailing Address - Street 2:SUITE 340
Mailing Address - City:ROSEMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60018-3729
Mailing Address - Country:US
Mailing Address - Phone:847-324-5550
Mailing Address - Fax:847-324-5552
Practice Address - Street 1:10400 W HIGGINS ROAD
Practice Address - Street 2:SUITE 340
Practice Address - City:ROSEMONT
Practice Address - State:IL
Practice Address - Zip Code:60018-3729
Practice Address - Country:US
Practice Address - Phone:847-324-5550
Practice Address - Fax:847-324-5552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILIL1010396251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
147841Medicare ID - Type Unspecified