Provider Demographics
NPI:1457705659
Name:AFFORDABLE HOME CAREGIVING SERVICES, INC.
Entity Type:Organization
Organization Name:AFFORDABLE HOME CAREGIVING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:IMAAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RASUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:774-754-3800
Mailing Address - Street 1:6071 N MILWAUKEE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60646-4725
Mailing Address - Country:US
Mailing Address - Phone:773-754-3800
Mailing Address - Fax:773-754-3804
Practice Address - Street 1:6071 N MILWAUKEE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646-4725
Practice Address - Country:US
Practice Address - Phone:773-754-3800
Practice Address - Fax:773-754-3804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-14
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3001199253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care