Provider Demographics
NPI:1154152387
Name:IHOME CARE SOLUTIONS
Entity type:Organization
Organization Name:IHOME CARE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:BOUVIER
Authorized Official - Last Name:CLEMONS
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:708-921-2673
Mailing Address - Street 1:7621 S CREGIER AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60649-4011
Mailing Address - Country:US
Mailing Address - Phone:708-921-2673
Mailing Address - Fax:
Practice Address - Street 1:7621 S CREGIER AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60649-4011
Practice Address - Country:US
Practice Address - Phone:708-921-2673
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-09
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health