Provider Demographics
NPI:1972640126
Name:ACCESS CARE, LLC
Entity Type:Organization
Organization Name:ACCESS CARE, LLC
Other - Org Name:ACCESS BELCION HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:GAWAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-581-6188
Mailing Address - Street 1:5940 W. TOUHY AVE.
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NILES
Mailing Address - State:IL
Mailing Address - Zip Code:60714
Mailing Address - Country:US
Mailing Address - Phone:847-581-6188
Mailing Address - Fax:847-581-6187
Practice Address - Street 1:5940 W. TOUHY AVE.
Practice Address - Street 2:SUITE 300
Practice Address - City:NILES
Practice Address - State:IL
Practice Address - Zip Code:60714
Practice Address - Country:US
Practice Address - Phone:847-581-6188
Practice Address - Fax:847-581-6187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010369251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1010369OtherILL. LICENSE
IL147821Medicare Oscar/Certification