Healthcare Provider Details

I. General information

NPI: 1104826197
Provider Name (Legal Business Name): STERLING HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2005
Last Update Date: 04/27/2022
Certification Date: 04/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2111 CHESTNUT AVE STE 240
GLENVIEW IL
60025-1609
US

IV. Provider business mailing address

2111 CHESTNUT AVE STE 240
GLENVIEW IL
60025-1609
US

V. Phone/Fax

Practice location:
  • Phone: 847-298-0008
  • Fax: 847-410-9664
Mailing address:
  • Phone: 847-298-0008
  • Fax: 847-410-9664

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1010355
License Number StateIL

VIII. Authorized Official

Name: MR. JOSEPITO HERNANDEZ AQUINO JR.
Title or Position: PRESIDENT
Credential: RN
Phone: 847-298-0008