Provider Demographics
NPI:1336474220
Name:SENIOR CARE HOME HEALTH INC.
Entity Type:Organization
Organization Name:SENIOR CARE HOME HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DON
Authorized Official - Prefix:
Authorized Official - First Name:MARIZA
Authorized Official - Middle Name:
Authorized Official - Last Name:PADIGOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-980-2656
Mailing Address - Street 1:125 E LAKE ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60108-1179
Mailing Address - Country:US
Mailing Address - Phone:630-980-2656
Mailing Address - Fax:
Practice Address - Street 1:125 E LAKE ST
Practice Address - Street 2:SUITE 300
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-1179
Practice Address - Country:US
Practice Address - Phone:630-980-2656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-09
Last Update Date:2009-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILIL1011051251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health