Provider Demographics
NPI:1912933391
Name:CARE ONE HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:CARE ONE HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORNA
Authorized Official - Middle Name:CABANEZ
Authorized Official - Last Name:AGUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:630-655-3074
Mailing Address - Street 1:235 REMINGTON BLVD
Mailing Address - Street 2:SUITE G5
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-3619
Mailing Address - Country:US
Mailing Address - Phone:630-655-3074
Mailing Address - Fax:630-296-0155
Practice Address - Street 1:235 REMINGTON BLVD STE G5
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60440-3686
Practice Address - Country:US
Practice Address - Phone:630-655-3074
Practice Address - Fax:630-296-0155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-25
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010493251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL147872Medicare Oscar/Certification
IL147872Medicare PIN