Provider Demographics
NPI:1891310116
Name:ARCC HOME CARE LLC
Entity Type:Organization
Organization Name:ARCC HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAMIM
Authorized Official - Middle Name:
Authorized Official - Last Name:HUDA
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, RN, FNP-BC
Authorized Official - Phone:847-224-8420
Mailing Address - Street 1:7657 W ARDMORE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60631-2207
Mailing Address - Country:US
Mailing Address - Phone:773-791-6290
Mailing Address - Fax:
Practice Address - Street 1:1460 RENAISSANCE DR STE 310E
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-1348
Practice Address - Country:US
Practice Address - Phone:847-224-8420
Practice Address - Fax:847-589-5261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-12
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care