Provider Demographics
NPI:1952532178
Name:LINCOLN HOME HEALTH CARE INC.
Entity type:Organization
Organization Name:LINCOLN HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELISEO
Authorized Official - Middle Name:FAVOR
Authorized Official - Last Name:SOTELO
Authorized Official - Suffix:
Authorized Official - Credentials:ACCOUNTANT
Authorized Official - Phone:773-603-3441
Mailing Address - Street 1:7301 N LINCOLN AVE
Mailing Address - Street 2:SUITE 121
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712-1709
Mailing Address - Country:US
Mailing Address - Phone:847-674-2342
Mailing Address - Fax:847-673-0478
Practice Address - Street 1:7301 N LINCOLN AVE
Practice Address - Street 2:SUITE 121
Practice Address - City:LINCOLNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60712-1709
Practice Address - Country:US
Practice Address - Phone:847-674-2342
Practice Address - Fax:847-673-0478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-05
Last Update Date:2009-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1925211251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health