Provider Demographics
NPI:1285873752
Name:ICO CARE HOME HEALTH INC.
Entity type:Organization
Organization Name:ICO CARE HOME HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SUNDAY
Authorized Official - Middle Name:
Authorized Official - Last Name:NWANKPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-781-3342
Mailing Address - Street 1:1107 S MANNHEIM RD
Mailing Address - Street 2:SUITE 212
Mailing Address - City:WESTCHESTER
Mailing Address - State:IL
Mailing Address - Zip Code:60154-2561
Mailing Address - Country:US
Mailing Address - Phone:708-343-4704
Mailing Address - Fax:708-343-4941
Practice Address - Street 1:1107 S MANNHEIM RD
Practice Address - Street 2:SUITE 212
Practice Address - City:WESTCHESTER
Practice Address - State:IL
Practice Address - Zip Code:60154-2561
Practice Address - Country:US
Practice Address - Phone:708-343-4704
Practice Address - Fax:708-343-4941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-06
Last Update Date:2009-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health