Provider Demographics
NPI:1427532498
Name:AISHLING COMPANION HOME CARE, INC
Entity type:Organization
Organization Name:AISHLING COMPANION HOME CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AISHLING
Authorized Official - Middle Name:THERESE
Authorized Official - Last Name:DALTON KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:CECM, CDP, CADDCT, C
Authorized Official - Phone:708-361-7845
Mailing Address - Street 1:13255 SOUTHWEST HWY STE 200
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-1362
Mailing Address - Country:US
Mailing Address - Phone:708-361-7845
Mailing Address - Fax:708-361-7843
Practice Address - Street 1:1328 MAIN ST
Practice Address - Street 2:
Practice Address - City:CRETE
Practice Address - State:IL
Practice Address - Zip Code:60417-2131
Practice Address - Country:US
Practice Address - Phone:708-361-7845
Practice Address - Fax:708-361-7843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-17
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
No251J00000XAgenciesNursing CareGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty