Provider Demographics
NPI:1801545363
Name:ILERA HOME CARE LLC
Entity type:Organization
Organization Name:ILERA HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OMARI
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-683-1812
Mailing Address - Street 1:8834 S COTTAGE GROVE AVE # 201
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60619-6930
Mailing Address - Country:US
Mailing Address - Phone:312-683-1812
Mailing Address - Fax:
Practice Address - Street 1:8834 S COTTAGE GROVE AVE # 201
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60619-6930
Practice Address - Country:US
Practice Address - Phone:312-683-1812
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-22
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care