Provider Demographics
NPI:1699343129
Name:SPECIAL HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:SPECIAL HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT/ALT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:WOROOD
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-262-0562
Mailing Address - Street 1:1600 PLAINFIELD RD
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-1902
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13303 S RIDGELAND AVE UNIT C
Practice Address - Street 2:
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-0020
Practice Address - Country:US
Practice Address - Phone:815-595-4200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-11
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health