Provider Demographics
NPI:1952349979
Name:ALLCARE HOME HEALTH, INC.
Entity type:Organization
Organization Name:ALLCARE HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PAT
Authorized Official - Middle Name:
Authorized Official - Last Name:EILENFELDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-418-0894
Mailing Address - Street 1:1905 BERNICE RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:LANSING
Mailing Address - State:IL
Mailing Address - Zip Code:60438-6015
Mailing Address - Country:US
Mailing Address - Phone:708-418-0894
Mailing Address - Fax:708-418-0896
Practice Address - Street 1:1905 BERNICE RD
Practice Address - Street 2:SUITE 1
Practice Address - City:LANSING
Practice Address - State:IL
Practice Address - Zip Code:60438-6015
Practice Address - Country:US
Practice Address - Phone:708-418-0894
Practice Address - Fax:708-418-0896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2009-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1007269251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid
IL147614Medicare ID - Type UnspecifiedHOME HEALTH CARE PROVIDER