Provider Demographics
NPI:1245363019
Name:ACCESS HOME HEALTH CARE INC
Entity type:Organization
Organization Name:ACCESS HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RUTHILLA
Authorized Official - Middle Name:M
Authorized Official - Last Name:PARAS
Authorized Official - Suffix:
Authorized Official - Credentials:BSRN
Authorized Official - Phone:847-581-0691
Mailing Address - Street 1:8700 WAUKEGAN RD
Mailing Address - Street 2:SUITE 214
Mailing Address - City:MORTON GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60053-2103
Mailing Address - Country:US
Mailing Address - Phone:847-581-0691
Mailing Address - Fax:847-581-0948
Practice Address - Street 1:8700 WAUKEGAN RD
Practice Address - Street 2:SUITE 214
Practice Address - City:MORTON GROVE
Practice Address - State:IL
Practice Address - Zip Code:60053-2103
Practice Address - Country:US
Practice Address - Phone:847-581-0691
Practice Address - Fax:847-581-0948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL147827Medicare ID - Type UnspecifiedHOME HEALTH