Provider Demographics
NPI:1821089996
Name:ACS HOME HEALTH SERVICES
Entity Type:Organization
Organization Name:ACS HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROLAND
Authorized Official - Middle Name:P
Authorized Official - Last Name:SINIO
Authorized Official - Suffix:
Authorized Official - Credentials:BBA
Authorized Official - Phone:773-650-9302
Mailing Address - Street 1:3004 S ARCHER AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60608-5526
Mailing Address - Country:US
Mailing Address - Phone:773-650-9302
Mailing Address - Fax:773-650-9303
Practice Address - Street 1:3004 S ARCHER AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60608-5526
Practice Address - Country:US
Practice Address - Phone:773-650-9302
Practice Address - Fax:773-650-9303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-28
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010402251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1010402OtherHOME HEALTH AGENCY LICENS
IL147848Medicare Oscar/Certification