Provider Demographics
NPI:1295444313
Name:HIBERNIAN HOME CARE
Entity type:Organization
Organization Name:HIBERNIAN HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY OWNER/MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:NORA
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:630-360-8203
Mailing Address - Street 1:4550 W 103RD ST STE 304
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-4868
Mailing Address - Country:US
Mailing Address - Phone:708-634-2450
Mailing Address - Fax:708-634-2450
Practice Address - Street 1:4550 W 103RD ST STE 304
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-4868
Practice Address - Country:US
Practice Address - Phone:708-634-2450
Practice Address - Fax:708-634-2450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-17
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care