Healthcare Provider Details

I. General information

NPI: 1083921290
Provider Name (Legal Business Name): NURSECAREPLUS HOME HEALTHCARE CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2010
Last Update Date: 09/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2172 OAKDALE CIR
HANOVER PARK IL
60133-8802
US

IV. Provider business mailing address

2172 OAKDALE CIR
HANOVER PARK IL
60133-8802
US

V. Phone/Fax

Practice location:
  • Phone: 170-882-2444
  • Fax:
Mailing address:
  • Phone: 170-882-2448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. FLORENCIO MUNAR SERAIN
Title or Position: PRESIDENT
Credential:
Phone: 708-822-4448