MEDICARE: MOTHER'S TOUCH HOME HEALTH, 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	1010974	IL

General Provider Information

NPI Number	:	1417184540
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOTHER'S TOUCH HOME HEALTH, INC.

Provider Business Mailing Address
First Line	:	4852 S ASHLAND AVE
Second Line	:	SUITE 3
City	:	CHICAGO
State	:	IL
Zip	:	60609-4233
Country	:	US
Telephone Number	:	773-801-0278
Fax Number	:	773-801-0240

Provider Business Practice Location Address
First Line	:	4852 S ASHLAND AVE
Second Line	:	SUITE 3
City	:	CHICAGO
State	:	IL
Zip	:	60609-4233
Country	:	US
Telephone Number	:	773-801-0278
Fax Number	:	773-801-0240

Authorized Official
Title or Position	:	SECRETARY
Name	:	MS. MARIA T BAILEY
Credential	:
Telephone Number	:	708-932-2438

Provider Enumeration Date	:	06/16/2009
Last Update Date	:	05/12/2010

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