Healthcare Provider Details

I. General information

NPI: 1164840716
Provider Name (Legal Business Name): METRO CHICAGO HOME HEALTH CARE ASSOICATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2014
Last Update Date: 03/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 W NORTH AVE SUITE 1B
CHICAGO IL
60707-4334
US

IV. Provider business mailing address

7000 W NORTH AVE SUITE 1A
CHICAGO IL
60707-4334
US

V. Phone/Fax

Practice location:
  • Phone: 773-237-2275
  • Fax: 773-237-2295
Mailing address:
  • Phone: 773-237-2275
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT STELLETELLO
Title or Position: OWNER
Credential:
Phone: 773-237-2275