Provider Demographics
NPI:1922396688
Name:NORTH SHORE SENIOR SERVICES
Entity Type:Organization
Organization Name:NORTH SHORE SENIOR SERVICES
Other - Org Name:HOME INSTEAD SENIOR CARE SKOKIE IL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MELINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-673-1250
Mailing Address - Street 1:8816 BRONX AVE
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-1823
Mailing Address - Country:US
Mailing Address - Phone:847-673-1250
Mailing Address - Fax:847-673-1252
Practice Address - Street 1:8816 BRONX AVE
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-1823
Practice Address - Country:US
Practice Address - Phone:847-673-1250
Practice Address - Fax:847-673-1252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-15
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3000102253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care