Provider Demographics
NPI:1720812589
Name:URBAN SENIOR CARE, INC. DBA MHN HOME CARE
Entity type:Organization
Organization Name:URBAN SENIOR CARE, INC. DBA MHN HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TANDONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-850-6284
Mailing Address - Street 1:2619 S JEFFERY BLVD.
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60649
Mailing Address - Country:US
Mailing Address - Phone:773-850-6284
Mailing Address - Fax:
Practice Address - Street 1:2619 S JEFFERY BLVD.
Practice Address - Street 2:SUITE 1
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60649
Practice Address - Country:US
Practice Address - Phone:773-850-6284
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:URBAN SENIOR CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care