Provider Demographics
NPI:1023047750
Name:ALC HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:ALC HOME HEALTH CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO ADMIN
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:PASQUAL
Authorized Official - Last Name:SICILIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-368-1102
Mailing Address - Street 1:600 ENTERPRISE DR STE 208
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1946
Mailing Address - Country:US
Mailing Address - Phone:630-368-1102
Mailing Address - Fax:630-368-1104
Practice Address - Street 1:600 ENTERPRISE DR STE 208
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1946
Practice Address - Country:US
Practice Address - Phone:630-368-1102
Practice Address - Fax:630-368-1104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010612251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL147911Medicare Oscar/Certification