Healthcare Provider Details

I. General information

NPI: 1821718172
Provider Name (Legal Business Name): PLEASANT HOME CARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2022
Last Update Date: 09/02/2022
Certification Date: 09/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6326 N CICERO AVE STE 105
CHICAGO IL
60646-4400
US

IV. Provider business mailing address

6326 N CICERO AVE STE 105
CHICAGO IL
60646-4400
US

V. Phone/Fax

Practice location:
  • Phone: 773-595-3920
  • Fax: 773-717-7731
Mailing address:
  • Phone: 773-595-3920
  • Fax: 773-717-7731

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: MR. MICHAIL GEROULIS
Title or Position: PRESIDENT
Credential:
Phone: 312-723-6989