Provider Demographics
NPI:1205128246
Name:MID POINT HOME CARE INC
Entity type:Organization
Organization Name:MID POINT HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY MANGER
Authorized Official - Prefix:MS
Authorized Official - First Name:FALILAT
Authorized Official - Middle Name:
Authorized Official - Last Name:SAAKA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:708-331-9500
Mailing Address - Street 1:16234 LOUIS AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH HOLLAND
Mailing Address - State:IL
Mailing Address - Zip Code:60473-2285
Mailing Address - Country:US
Mailing Address - Phone:708-331-9500
Mailing Address - Fax:708-331-9501
Practice Address - Street 1:16234 LOUIS AVE
Practice Address - Street 2:
Practice Address - City:SOUTH HOLLAND
Practice Address - State:IL
Practice Address - Zip Code:60473-2285
Practice Address - Country:US
Practice Address - Phone:708-331-9500
Practice Address - Fax:708-331-9501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-10
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL4000332251J00000X
IL3000739253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care