Provider Demographics
NPI:1528673951
Name:TCHATCHOUAS HEALTHCARE SOLUTIONS
Entity type:Organization
Organization Name:TCHATCHOUAS HEALTHCARE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JEAN CALVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TCHATCHOUA MBITCHA
Authorized Official - Suffix:
Authorized Official - Credentials:DBA
Authorized Official - Phone:773-678-3649
Mailing Address - Street 1:141 INDIANA ST
Mailing Address - Street 2:
Mailing Address - City:PARK FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60466-1078
Mailing Address - Country:US
Mailing Address - Phone:708-248-5603
Mailing Address - Fax:888-701-6222
Practice Address - Street 1:141 INDIANA ST
Practice Address - Street 2:
Practice Address - City:PARK FOREST
Practice Address - State:IL
Practice Address - Zip Code:60466-1078
Practice Address - Country:US
Practice Address - Phone:708-248-5603
Practice Address - Fax:888-701-6222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-11
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care