Provider Demographics
NPI:1972834166
Name:EHS HOME HEALTH CARE SERVICE INC
Entity Type:Organization
Organization Name:EHS HOME HEALTH CARE SERVICE INC
Other - Org Name:ADVOCATE HOME HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR, PATIENT ACCOUNTS
Authorized Official - Prefix:
Authorized Official - First Name:TONIA
Authorized Official - Middle Name:YOLANDA
Authorized Official - Last Name:BURRELL PACE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-368-6570
Mailing Address - Street 1:2311 W 22ND ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1225
Mailing Address - Country:US
Mailing Address - Phone:630-572-1232
Mailing Address - Fax:630-368-5912
Practice Address - Street 1:303 N HERSHEY RD
Practice Address - Street 2:SUITE C
Practice Address - City:BLOOMINGTON
Practice Address - State:IL
Practice Address - Zip Code:61704-3576
Practice Address - Country:US
Practice Address - Phone:309-888-0930
Practice Address - Fax:309-268-5960
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EHS HOME HEALTH CARE SERVICE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-01-27
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1001932251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health