Provider Demographics
NPI:1891120317
Name:CHICAGO HOME HEALTH, INC.
Entity Type:Organization
Organization Name:CHICAGO HOME HEALTH, INC.
Other - Org Name:ALYCE ADULT DAY CARE AND INHOME SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AGENCY MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AE HEE
Authorized Official - Middle Name:
Authorized Official - Last Name:YUM
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:847-269-8012
Mailing Address - Street 1:6625 N MILWAUKEE AVE
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:IL
Mailing Address - Zip Code:60714-4416
Mailing Address - Country:US
Mailing Address - Phone:847-269-8012
Mailing Address - Fax:
Practice Address - Street 1:6625 N MILWAUKEE AVE
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:IL
Practice Address - Zip Code:60714-4416
Practice Address - Country:US
Practice Address - Phone:847-269-8012
Practice Address - Fax:312-842-8889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-04
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1011629251E00000X
IL4000408251J00000X
IL3000988253Z00000X
261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care