Provider Demographics
NPI:1962833517
Name:1ST CARE HEALTH AND HOME CARE SERVICES
Entity Type:Organization
Organization Name:1ST CARE HEALTH AND HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ESTER
Authorized Official - Middle Name:OKWUDILI
Authorized Official - Last Name:CHUKWURAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-260-6253
Mailing Address - Street 1:69 ADLER CREEK AVENUE
Mailing Address - Street 2:
Mailing Address - City:BOLLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60446
Mailing Address - Country:US
Mailing Address - Phone:815-260-6253
Mailing Address - Fax:
Practice Address - Street 1:429 N WEBER RD STE 256
Practice Address - Street 2:
Practice Address - City:ROMEOVILLE
Practice Address - State:IL
Practice Address - Zip Code:60446-3902
Practice Address - Country:US
Practice Address - Phone:877-723-0068
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-09
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health