# CUSTOM HOME CARE, INC.

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

## Provider details

- **NPI number:** 1407956550
- **Authorized official:** MS. CHRISTY PRINZ RN, MSN (PRESIDENT)
- **Authorized official phone:** (773) 561-4663

## Contact information

- **Practice address:** 4754 N LINCOLN AVE, 2ND FLOOR, CHICAGO, IL 60625-2010
- **Practice address phone:** (773) 561-4663
- **Practice address fax:** (773) 561-2756
- **Mailing address:** 2859 CENTRAL ST, EVANSTON, IL 60201-1234
- **Mailing address phone:** (773) 561-4663
- **Mailing address fax:** (773) 561-2756

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1675283 | IL | Yes |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 08/22/2020