Provider Demographics
NPI:1316970635
Name:CARING COMMUNITY HOME HEALTH, INC.
Entity type:Organization
Organization Name:CARING COMMUNITY HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:HART
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:630-999-6812
Mailing Address - Street 1:494 W BOUGHTON RD STE 3
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-1881
Mailing Address - Country:US
Mailing Address - Phone:630-759-2718
Mailing Address - Fax:630-759-2654
Practice Address - Street 1:494 W BOUGHTON RD STE 3
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60440-1881
Practice Address - Country:US
Practice Address - Phone:630-759-2718
Practice Address - Fax:630-759-2654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2020-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
IL1010611251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========6000701Medicaid
IL14-7938Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER