Provider Demographics
NPI:1649782723
Name:MANAGE SENIOR CARE, INC.
Entity type:Organization
Organization Name:MANAGE SENIOR CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VICTORIO
Authorized Official - Middle Name:BINAS
Authorized Official - Last Name:CATOLICO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:847-224-8887
Mailing Address - Street 1:4053 KIRK ST
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-3451
Mailing Address - Country:US
Mailing Address - Phone:847-224-8887
Mailing Address - Fax:847-972-1687
Practice Address - Street 1:4053 KIRK ST
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-3451
Practice Address - Country:US
Practice Address - Phone:847-224-8887
Practice Address - Fax:847-972-1687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-30
Last Update Date:2017-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
253Z00000X, 163WH0200X
IL253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty