Healthcare Provider Details

I. General information

NPI: 1487184271
Provider Name (Legal Business Name): FIELD HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2017
Last Update Date: 04/24/2024
Certification Date: 04/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 MILWAUKEE AVE STE 200
LINCOLNSHIRE IL
60069-3036
US

IV. Provider business mailing address

185 MILWAUKEE AVE STE 200
LINCOLNSHIRE IL
60069-3036
US

V. Phone/Fax

Practice location:
  • Phone: 847-840-3272
  • Fax: 847-840-3272
Mailing address:
  • Phone: 847-374-8400
  • Fax: 847-374-8402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number4000528
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number3000950
License Number StateIL

VIII. Authorized Official

Name: MR. MATTHEW FIELD
Title or Position: CFO
Credential:
Phone: 847-374-8400