Provider Demographics
NPI:1922531284
Name:HILAL HOME CARE INC.
Entity Type:Organization
Organization Name:HILAL HOME CARE INC.
Other - Org Name:NONE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:DHAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:630-893-2055
Mailing Address - Street 1:2037 BLOOMINGDALE RD STE 217
Mailing Address - Street 2:
Mailing Address - City:GLENDALE HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60139-2195
Mailing Address - Country:US
Mailing Address - Phone:630-893-2055
Mailing Address - Fax:630-332-8138
Practice Address - Street 1:2037 BLOOMINGDALE RD STE 217
Practice Address - Street 2:
Practice Address - City:GLENDALE HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60139-2195
Practice Address - Country:US
Practice Address - Phone:630-893-2055
Practice Address - Fax:630-332-8138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-04
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3001473253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care