Provider Demographics
NPI:1902831910
Name:DUPAGE HOME HEALTH CARE INC.
Entity Type:Organization
Organization Name:DUPAGE HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:EDEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BOCATCAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-354-4405
Mailing Address - Street 1:136 N LA GRANGE RD
Mailing Address - Street 2:
Mailing Address - City:LA GRANGE
Mailing Address - State:IL
Mailing Address - Zip Code:60525-2059
Mailing Address - Country:US
Mailing Address - Phone:708-354-4405
Mailing Address - Fax:708-354-4406
Practice Address - Street 1:136 N LA GRANGE RD
Practice Address - Street 2:
Practice Address - City:LA GRANGE
Practice Address - State:IL
Practice Address - Zip Code:60525-2059
Practice Address - Country:US
Practice Address - Phone:708-354-4405
Practice Address - Fax:708-354-4406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010293251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL147784Medicare ID - Type UnspecifiedPROVIDR NUMBER