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NPI Code Detail

MEDICARE: SAMLAND HOME CARE SERVICES, INC.

MEDICARE: SAMLAND HOME CARE SERVICES, 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
1251E00000XHome Health Agency3000475IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13000475OTHERILIDPH LICENSE

General Provider Information

NPI Number : 1881966331
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAMLAND HOME CARE SERVICES, INC.
Provider Business Mailing Address
First Line : 4320 W MONTROSE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60641-2016
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4320 W MONTROSE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60641-2016
Country : US
Telephone Number : 773-283-2525
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : FLORA SAMPANG
Credential :
Telephone Number : 773-283-2525
Provider Enumeration Date : 01/30/2012
Last Update Date : 01/30/2012

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Directions to “SAMLAND HOME CARE SERVICES, INC. ” Practice Location

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