Provider Demographics
NPI:1831513357
Name:UCCARES HOME HEALTH SERVICES
Entity type:Organization
Organization Name:UCCARES HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:UCHE
Authorized Official - Middle Name:
Authorized Official - Last Name:OHALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-225-7234
Mailing Address - Street 1:1938 GREAT PLAINES WAY
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60490-5519
Mailing Address - Country:US
Mailing Address - Phone:630-225-7234
Mailing Address - Fax:630-225-7232
Practice Address - Street 1:1938 GREAT PLAINES WAY
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60490-5519
Practice Address - Country:US
Practice Address - Phone:630-225-7234
Practice Address - Fax:630-225-7232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-05
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3001016253Z00000X
IL4000417251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care