Provider Demographics
NPI:1891246526
Name:PARKER CROMWELL ASSOC. LTD
Entity Type:Organization
Organization Name:PARKER CROMWELL ASSOC. LTD
Other - Org Name:HOME AND HEARTH CAREGIVERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CARE PLAN MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-352-4663
Mailing Address - Street 1:122B W CALENDAR AVE
Mailing Address - Street 2:
Mailing Address - City:LA GRANGE
Mailing Address - State:IL
Mailing Address - Zip Code:60525-3098
Mailing Address - Country:US
Mailing Address - Phone:708-352-4663
Mailing Address - Fax:708-352-8350
Practice Address - Street 1:122B W CALENDAR AVE
Practice Address - Street 2:
Practice Address - City:LA GRANGE
Practice Address - State:IL
Practice Address - Zip Code:60525-3098
Practice Address - Country:US
Practice Address - Phone:708-352-4663
Practice Address - Fax:708-352-8350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-18
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3000469251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health