# VINTAGE HEALTH CARE SERVICES, INC

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

## Provider details

- **NPI number:** 1477712107
- **Authorized official:** MR. OLIVER AKANO (PRESIDENT)
- **Authorized official phone:** (773) 368-3499

## Contact information

- **Practice address:** 20300 GOVERNORS HWY, OLYMPIA FIELDS, IL 60461-1011
- **Practice address phone:** (773) 368-3499
- **Practice address fax:** (630) 260-1035
- **Mailing address:** 20300 GOVERNORS HWY, OLYMPIA FIELDS, IL 60461-1011
- **Mailing address phone:** (773) 368-3499
- **Mailing address fax:** (630) 260-1035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1010816 | IL | Yes |
| 253Z00000X | In Home Supportive Care Agency | 1010816 | IL | — |

## Other

- **Enumeration date:** 06/06/2008
- **Last updated:** 02/14/2017