Provider Demographics
NPI:1669642294
Name:MAX CARE HOME HEALTH SERVICES INC.
Entity type:Organization
Organization Name:MAX CARE HOME HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:NOOR
Authorized Official - Middle Name:FATIMA
Authorized Official - Last Name:HUSAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-833-2910
Mailing Address - Street 1:490 W LAKE ST UNIT 3
Mailing Address - Street 2:
Mailing Address - City:ROSELLE
Mailing Address - State:IL
Mailing Address - Zip Code:60172-3551
Mailing Address - Country:US
Mailing Address - Phone:630-833-2910
Mailing Address - Fax:866-656-1698
Practice Address - Street 1:490 W LAKE ST UNIT 3
Practice Address - Street 2:
Practice Address - City:ROSELLE
Practice Address - State:IL
Practice Address - Zip Code:60172-3551
Practice Address - Country:US
Practice Address - Phone:630-833-2910
Practice Address - Fax:866-656-1698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-11
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL253Z00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care