Provider Demographics
NPI:1962035410
Name:EDREN HOME CARE CORPORATION
Entity Type:Organization
Organization Name:EDREN HOME CARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN / PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:ELSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-983-7385
Mailing Address - Street 1:3917 HOWARD ST
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-3778
Mailing Address - Country:US
Mailing Address - Phone:847-983-7385
Mailing Address - Fax:847-983-7386
Practice Address - Street 1:3917 HOWARD ST
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-3778
Practice Address - Country:US
Practice Address - Phone:847-983-7385
Practice Address - Fax:847-983-7386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-12
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care