Provider Demographics
NPI:1639324429
Name:SELECT HOME CARE, INC.
Entity type:Organization
Organization Name:SELECT HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR / AUTHORIZED OFFICIAL
Authorized Official - Prefix:MR
Authorized Official - First Name:JAN MARU
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINSAAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-338-2230
Mailing Address - Street 1:9933 LAWLER AVE STE 105C
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-3753
Mailing Address - Country:US
Mailing Address - Phone:773-338-2230
Mailing Address - Fax:773-338-2233
Practice Address - Street 1:9933 LAWLER AVE STE 105C
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-3753
Practice Address - Country:US
Practice Address - Phone:773-338-2230
Practice Address - Fax:773-338-2233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-21
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health