Provider Demographics
NPI:1851056857
Name:MERRY FAMILY HOME HEALTCARE INC
Entity Type:Organization
Organization Name:MERRY FAMILY HOME HEALTCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:AGBONIFO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-240-9225
Mailing Address - Street 1:3601 W DEVON AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-1299
Mailing Address - Country:US
Mailing Address - Phone:773-240-9225
Mailing Address - Fax:
Practice Address - Street 1:3601 W DEVON AVE STE 300
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-1299
Practice Address - Country:US
Practice Address - Phone:773-240-9225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-03
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health