Healthcare Provider Details

I. General information

NPI: 1295422392
Provider Name (Legal Business Name): GLOBAL HOMECARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2023
Last Update Date: 07/28/2023
Certification Date: 07/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2625 W PETERSON AVE
CHICAGO IL
60659-4004
US

IV. Provider business mailing address

5766 N LINCOLN AVE STE NO2
CHICAGO IL
60659-4734
US

V. Phone/Fax

Practice location:
  • Phone: 872-888-5551
  • Fax:
Mailing address:
  • Phone: 872-888-5551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JAMEEL SHAIK
Title or Position: CEO
Credential:
Phone: 872-888-5551