Organization
MAXICARE HOME HEALTH SERVICES, INC.
Active
Other names
Northcare Home Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND C SILVANO (ADMINISTRATOR)
(847) 675-6007
Entity
Organization
Contact information
Practice address
5134 N ELSTON AVE, CHICAGO, IL 60630-2429
(847) 675-6007
(847) 675-6021
Mailing address
5134 N ELSTON AVE, CHICAGO, IL 60630-2429
(847) 675-6007
(847) 675-6021
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1011559
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14-8021
CMS CERTIFICATION NUMBER
IL
Enumeration date
12/04/2006
Last updated
01/06/2021
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