Healthcare Provider Details

I. General information

NPI: 1336982396
Provider Name (Legal Business Name): GLOBAL HOMECARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2024
Last Update Date: 06/17/2024
Certification Date: 06/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2625 W PETERSON AVE
CHICAGO IL
60659-4004
US

IV. Provider business mailing address

2625 W PETERSON AVE
CHICAGO IL
60659-4004
US

V. Phone/Fax

Practice location:
  • Phone: 872-804-6001
  • Fax: 773-901-3976
Mailing address:
  • Phone: 872-804-6001
  • Fax: 773-901-3976

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

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