# BEVERLY HOME HEALTH CARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093041360
- **Authorized official:** MS. ROSITA CUYUGAN TRI NIDAD (PRESIDENT/SECRETARY)
- **Authorized official phone:** (708) 583-1626

## Contact information

- **Practice address:** 2045 S. ARLINGTON HEIGHTS ROAD,, 1STE 116, ARLINGTON HEIGHTS, IL 60005-1499
- **Practice address phone:** (708) 583-1626
- **Practice address fax:** (708) 221-7196
- **Mailing address:** 2045 S. ARLINGTON HEIGHTS ROAD, STE 116, ARLINGTON HEIGHTS, IL 60005-1499
- **Mailing address phone:** (708) 583-1626
- **Mailing address fax:** (708) 221-7196

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/21/2009
- **Last updated:** 11/28/2012
