Provider Demographics
NPI:1588994040
Name:ALLGREEN HOME HEALTH CARE INC
Entity type:Organization
Organization Name:ALLGREEN HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DON
Authorized Official - Prefix:MISS
Authorized Official - First Name:NIRMALA
Authorized Official - Middle Name:S
Authorized Official - Last Name:PASALA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:773-262-1110
Mailing Address - Street 1:1542 W DEVON AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60660-1344
Mailing Address - Country:US
Mailing Address - Phone:773-262-1110
Mailing Address - Fax:
Practice Address - Street 1:1542 W DEVON AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60660-1344
Practice Address - Country:US
Practice Address - Phone:773-262-1110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-06
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1011024251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health