Provider Demographics
NPI:1215242268
Name:ASSURECARE HOME HEALTH, INC
Entity type:Organization
Organization Name:ASSURECARE HOME HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MENESES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-740-1955
Mailing Address - Street 1:4433 W TOUHY AVE
Mailing Address - Street 2:SUITE 540
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712
Mailing Address - Country:US
Mailing Address - Phone:847-740-1955
Mailing Address - Fax:888-847-4991
Practice Address - Street 1:4433 W TOUHY AVE
Practice Address - Street 2:SUITE 540
Practice Address - City:LINCOLNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60712
Practice Address - Country:US
Practice Address - Phone:847-740-1955
Practice Address - Fax:888-847-4991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-15
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1011307251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILIL1011307OtherSTATE LICENSE