Healthcare Provider Details

I. General information

NPI: 1043407463
Provider Name (Legal Business Name): PROFICIENT HEALTH CARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2007
Last Update Date: 09/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20316 S TORRENCE AVE SUITE B
LYNWOOD IL
60411-7629
US

IV. Provider business mailing address

20316 TORRENCE AVE SUITE B
LYNWOOD IL
60411-7629
US

V. Phone/Fax

Practice location:
  • Phone: 708-895-5560
  • Fax: 708-895-5561
Mailing address:
  • Phone: 708-895-5560
  • Fax: 708-895-5561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. NAOMI R WEST
Title or Position: DIRECTOR OF NURSING
Credential: RN MSN
Phone: 708-895-5560