Provider Demographics
NPI:1588115489
Name:EMPRESS HOME HEALTHCARE INC.
Entity type:Organization
Organization Name:EMPRESS HOME HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:WHITIKER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:773-653-0154
Mailing Address - Street 1:15652 HOMAN AVE
Mailing Address - Street 2:STE 15
Mailing Address - City:MARKHAM
Mailing Address - State:IL
Mailing Address - Zip Code:60619-5016
Mailing Address - Country:US
Mailing Address - Phone:708-893-0073
Mailing Address - Fax:708-566-5185
Practice Address - Street 1:15652 HOMAN AVE
Practice Address - Street 2:STE 15
Practice Address - City:MARKHAM
Practice Address - State:IL
Practice Address - Zip Code:60619-5016
Practice Address - Country:US
Practice Address - Phone:708-893-0073
Practice Address - Fax:708-566-5185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-17
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL148330251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health