Provider Demographics
NPI:1922467935
Name:HOME ACCESS PROFESSIONALS, LLC
Entity Type:Organization
Organization Name:HOME ACCESS PROFESSIONALS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY / TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:SHAW
Authorized Official - Last Name:CRANDALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-403-0120
Mailing Address - Street 1:210 W CAMPUS DR STE B
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-7829
Mailing Address - Country:US
Mailing Address - Phone:847-403-0120
Mailing Address - Fax:847-590-1728
Practice Address - Street 1:210 W CAMPUS DR STE B
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-7829
Practice Address - Country:US
Practice Address - Phone:847-403-0120
Practice Address - Fax:847-590-1728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-18
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment