Provider Demographics
NPI:1285397935
Name:COOL CROWN HEALTH CARE SERVICES LIMITED
Entity type:Organization
Organization Name:COOL CROWN HEALTH CARE SERVICES LIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEBIYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-293-7752
Mailing Address - Street 1:3525 W PETERSON AVE STE 222
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-3314
Mailing Address - Country:US
Mailing Address - Phone:773-293-7752
Mailing Address - Fax:
Practice Address - Street 1:3525 W PETERSON AVE STE 222
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-3314
Practice Address - Country:US
Practice Address - Phone:773-293-7752
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-20
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251J00000XAgenciesNursing CareGroup - Single Specialty
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive Care