Provider Demographics
NPI:1922874262
Name:LIKE OUR OWN HOME CARE LLC
Entity Type:Organization
Organization Name:LIKE OUR OWN HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARESE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON-BOUIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-641-3950
Mailing Address - Street 1:1490 MERRIMAC LN N
Mailing Address - Street 2:
Mailing Address - City:HANOVER PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60133-6212
Mailing Address - Country:US
Mailing Address - Phone:630-641-3950
Mailing Address - Fax:
Practice Address - Street 1:1490 MERRIMAC LN N
Practice Address - Street 2:
Practice Address - City:HANOVER PARK
Practice Address - State:IL
Practice Address - Zip Code:60133-6212
Practice Address - Country:US
Practice Address - Phone:630-641-3950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-28
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty