Healthcare Provider Details

I. General information

NPI: 1649276767
Provider Name (Legal Business Name): SHERMAN HOME HEALTH CARE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2005
Last Update Date: 09/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 CENTER ST STE 2001A
ELGIN IL
60120-2104
US

IV. Provider business mailing address

901 CENTER ST STE 2001A
ELGIN IL
60120-2104
US

V. Phone/Fax

Practice location:
  • Phone: 224-783-6200
  • Fax: 224-783-6267
Mailing address:
  • Phone: 224-783-6200
  • Fax: 224-783-6267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1002872
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number203.000650
License Number StateIL

VIII. Authorized Official

Name: MRS. MIRIAM M PARRA
Title or Position: REIMBURSEMENT SPECIALIST
Credential:
Phone: 847-429-3764