Provider Demographics
NPI:1669426367
Name:HOME PATIENT SERVICES, INC
Entity type:Organization
Organization Name:HOME PATIENT SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:KIRINCIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-673-5511
Mailing Address - Street 1:8240 MCCORMICK BLVD
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-2921
Mailing Address - Country:US
Mailing Address - Phone:847-673-5511
Mailing Address - Fax:847-673-5566
Practice Address - Street 1:8240 MCCORMICK BLVD
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-2921
Practice Address - Country:US
Practice Address - Phone:847-673-5511
Practice Address - Fax:847-673-5566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL203.000740332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL5581360001Medicare NSC