Healthcare Provider Details

I. General information

NPI: 1750201489
Provider Name (Legal Business Name): TAHOR CARE SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17843 TORRENCE AVE UNIT 1A
LANSING IL
60438-0197
US

IV. Provider business mailing address

17843 TORRENCE AVE UNIT 1A
LANSING IL
60438-0197
US

V. Phone/Fax

Practice location:
  • Phone: 312-404-8265
  • Fax: 708-394-0241
Mailing address:
  • Phone: 312-404-8265
  • Fax: 708-394-0241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: ABISINUOLA NWOKOLO
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 312-404-8265