MEDICARE: DARIEN HOME HEALTH CARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	001	IL
2	251E00000X	Home Health Agency	1011275	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5052	OTHER	IL	BCBS PROVIDER NUMBER

General Provider Information

NPI Number	:	1205845005
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DARIEN HOME HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	1510 PLAINFIELD RD STE 7
Second Line	:
City	:	DARIEN
State	:	IL
Zip	:	60561-4919
Country	:	US
Telephone Number	:	630-963-4212
Fax Number	:	630-963-4281

Provider Business Practice Location Address
First Line	:	1510 PLAINFIELD RD STE 7
Second Line	:
City	:	DARIEN
State	:	IL
Zip	:	60561-4919
Country	:	US
Telephone Number	:	630-963-4212
Fax Number	:	630-963-4281

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. EFREN DE LA CRUZ
Credential	:	RN
Telephone Number	:	630-963-4212

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	01/12/2026

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