Provider Demographics
NPI:1942077912
Name:REACHING A HAND IN-HOME CARE INC
Entity Type:Organization
Organization Name:REACHING A HAND IN-HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/CEO
Authorized Official - Prefix:
Authorized Official - First Name:NAOMI
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYLES
Authorized Official - Suffix:
Authorized Official - Credentials:HCM
Authorized Official - Phone:708-885-9852
Mailing Address - Street 1:327 OSWEGO ST
Mailing Address - Street 2:
Mailing Address - City:PARK FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60466-2135
Mailing Address - Country:US
Mailing Address - Phone:845-309-0359
Mailing Address - Fax:
Practice Address - Street 1:10522 S CICERO AVE STE 100
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-5200
Practice Address - Country:US
Practice Address - Phone:708-885-9852
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-08
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL5407519Medicaid