Provider Demographics
NPI:1427291459
Name:EVERLASTING HOME HEALTHCARE, INC.
Entity type:Organization
Organization Name:EVERLASTING HOME HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ORRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:COLBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-493-8980
Mailing Address - Street 1:4747 W PETERSON AVE
Mailing Address - Street 2:SUITE 401
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60646-5724
Mailing Address - Country:US
Mailing Address - Phone:773-481-0100
Mailing Address - Fax:773-481-0101
Practice Address - Street 1:4747 W PETERSON AVE
Practice Address - Street 2:SUITE 401
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646-5724
Practice Address - Country:US
Practice Address - Phone:773-481-0100
Practice Address - Fax:773-481-0101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-07
Last Update Date:2011-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010954251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health