Healthcare Provider Details

I. General information

NPI: 1932925443
Provider Name (Legal Business Name): BENTLEYS HELPING HAND ADULT DAY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2024
Last Update Date: 11/29/2024
Certification Date: 11/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1655 S BLUE ISLAND AVE # 445
CHICAGO IL
60608-2133
US

IV. Provider business mailing address

1655 S BLUE ISLAND AVE # 445
CHICAGO IL
60608-2133
US

V. Phone/Fax

Practice location:
  • Phone: 773-349-1994
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHANTEL LEGEND
Title or Position: OWNER
Credential:
Phone: 773-349-1994