Provider Demographics
NPI:1891727293
Name:GLORY HOME HEALTH CARE MANAGEMENT INC
Entity Type:Organization
Organization Name:GLORY HOME HEALTH CARE MANAGEMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KROKHMALYUK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-568-1033
Mailing Address - Street 1:2700 S RIVER RD STE 108
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60018-4104
Mailing Address - Country:US
Mailing Address - Phone:847-813-6555
Mailing Address - Fax:847-813-9682
Practice Address - Street 1:2700 S RIVER RD STE 108
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60018-4104
Practice Address - Country:US
Practice Address - Phone:847-813-6555
Practice Address - Fax:847-813-9682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health