Organization
IN HOME PERSONAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUMBERTO VILCHIS (AGENCY ADMINISTRATOR)
(815) 558-1521
Entity
Organization
Contact information
Practice address
813 TEK DR, CRYSTAL LAKE, IL 60014-8172
(877) 826-4477
Mailing address
813 TEK DR, CRYSTAL LAKE, IL 60014-8172
(877) 826-4477
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
3000124
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3000124
LICENSED HOME SERVICES AGENCY
IL
Enumeration date
10/17/2016
Last updated
09/29/2025
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