Provider Demographics
NPI:1316257702
Name:HUMAN NATURE SENIOR CARE
Entity type:Organization
Organization Name:HUMAN NATURE SENIOR CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCALA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:847-881-2888
Mailing Address - Street 1:540 FRONTAGE RD
Mailing Address - Street 2:3225
Mailing Address - City:NORTHFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60093-1250
Mailing Address - Country:US
Mailing Address - Phone:847-881-2888
Mailing Address - Fax:847-881-2799
Practice Address - Street 1:540 FRONTAGE RD
Practice Address - Street 2:3225
Practice Address - City:NORTHFIELD
Practice Address - State:IL
Practice Address - Zip Code:60093-1250
Practice Address - Country:US
Practice Address - Phone:847-881-2888
Practice Address - Fax:847-881-2799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-19
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3000262251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health